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_ , <br /> ~~g ~ <br /> . C <br /> PROJECT AUTHORIZ <br /> ATION FORM ~ Engineering <br /> ~ Public Works <br /> ~ , <br /> City of Eugene <br /> 858 Pearl <br /> Eugene, OR 97401 <br /> ~ Service ID:_______ , ~ (541) 682-5291 <br /> l ~ SID Pg ~GL ~JC - JE ~F~ <br /> Project title: ~ <br /> (location w rk descript/o <br /> Project manager /contact /private engineer: ~ (rte ~ ~ ~ ~ <br /> PROJECT SCOPE: ~ C <br /> ~ Paving: ~ C <br /> ~ (w/drns) Bike lanes /paths: <br /> Concrete walks: (widrn) <br /> Wastewater (length) Setback /Curbside <br /> (widrn/ <br /> i Stormwater Landsca g <br /> Signal pin <br /> .f Street lights ROW required <br /> New building construction <br /> <br /> ~ Planning, other <br /> Remodel <br /> FUNDING SOURCES: <br /> City Assessments <br /> Private___~_ Other department <br /> Fed /State /County /FAA Account code <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: ~ fixed) <br /> R <br /> I <br /> 4' <br /> i <br /> APPROVED: <br /> Project Manager € <br /> Principal Engin r Date d <br /> Facilities Manager Date ~ <br /> City Engineer~,~~~ Date <br /> Date ~~z/v2 ~ <br /> 4 <br /> cF9OR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ` ~ ~ + '1 I f <br /> ACK ~~J ~ ' ~ ~cJ~ ~ Ce S~aGSC jC J ~ I i. <br /> GL Title _ ~~~y--~ ~t,..l <br /> i f <br /> c; r. <br /> Assigned <br /> Date <br /> ~/rte ~ <br /> Accounting by ~ <br /> Date <br /> ATTACHMENTS: ~ <br /> ~ . . <br /> ~ ? Budget Estimate <br /> ? Developer Agreement ` ' <br /> ? SDC Budget Worksheet ? Engineer's Report On Improvement Petition <br /> engineering Agreement ? Engineering Service Work Request [ <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> ite Request Form i <br /> F <br /> ENG 415 WHITE / Financed 5 <br /> ~~Lt-~W y~A~myrjisfra~iofh~File(' ~Ilpfl~/Engineering File GOLDENROD /Project Mana er <br /> 9 FEBRUARY2002 ~ <br /> . t <br /> _ <br /> 3 <br /> <br />