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~~k ~ <br /> PROJECT AUTHORIZATION FORM Engineering <br /> ~ Public Works <br /> i <br /> j~~ City of Eugene <br /> 858 Pearl <br /> I, ~ ~ Eugene, OR 97401 <br /> Service It: ~ ~ ~ t 1' y~ (541) 682-5291 <br /> SID / PB GL JC JE ~P"d <br /> Project title: <br /> (location and w des dption) _ <br /> y <br /> Project manager /contact /private engineer: <br /> 1 <br /> ' ~ PROJECT SCOPE: <br /> Paving: ~ Bike lanes /paths: <br /> ~ (widths) (width) <br /> ~ Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Wastewater _ Stormwater ~ ~ Landscaping <br /> i <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> ' Account code <br /> f <br /> Fed /State /County /FAA fixed) <br /> COMMENTS SPECIAL PROJECT INFO. /INTERDEPARTMENTAL ORK DESCRIPTION: <br /> o <br /> i <br /> i <br /> t <br /> APPROVED: <br /> i <br /> Project Manager i`- ~f1 Date <br /> ~ Principal Engineer- Date <br /> ~ Facilities Manager Date <br /> City Engineer Date ~ 2 c>~.. <br /> <br /> i <br /> F(~OR USE BY ADMINISTiRATION ONLY <br /> Capital Project No. `i \ 1 ~ ACK 1 q ~5~ ~ ~XX-t~ ~ ~ ~ ' ~ <br /> GL Title W b~~~~ <br /> c <br /> Assigned Date ~ ~ ~ <br /> Accounting by Date <br /> ATTACHMENTS: - <br /> ! ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> ile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> <br />