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i <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> I <br /> ~ City of Eugene <br /> ~ . ) .iv. ~ ~ _ 858 Pearl <br /> , ` Eugene, OR 97401 <br /> y n~~ (541)682-5291 <br /> ~ Service ID: / SID~PB ~GL ~JC ~ JE i"L~ <br /> ~ 10 <br /> Project title: <br /> (locati d w rk descripti r e ~ x <br /> r'`°I <br /> Project manager /contact /private engineer: ~ ~ ~ <br /> ~„D 1 <br /> i <br /> PROJECT SCOPE: ~ <br /> . ~ <br /> Paving: Bike lanes /paths: <br /> ~ (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> Wastewater ~ n Stormwater `°'th) Landscaping <br /> Signal Street lights ROW required <br /> New buildin construction Plannin other <br /> ~ Rem~~el <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> <br /> i Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> i <br /> APPROVED: . <br /> Project Manager Date <br /> Principal Engineer ~ Date <br /> Facilities Manager Date <br /> City Engineer Date ~O Z <br /> FO(R~g USE BY ADMIN)I~S,TRATION ONLY <br /> Capital Project No. ~ ~ -1 ~ ACK tJt Q ~ ~ ~ ~Q 9~~j~ ~ ~ ~t ~~(C~ <br /> GLTitle Tlial/~-~~~` ~i~°E"- ~"~®'~t7~ <br /> Assignedb ~ ~ Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ° ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet `~Lngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ublic Improvement Permit Application ? Map <br /> C'ile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 ~ <br /> J~-"! ~-03 % n~2 ~yCVD v <br /> <br />