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~ " . PROJECT AUTHORIZATION FORM Engineering <br /> Public Works ~`~~J <br /> City of Eugene <br /> 858 Pearl <br /> Eugene, OR 97401 <br /> ~ / ~ (541) 682-5291 <br /> ' _ Service ID: SID/ PB GL/ JC _ JE <br /> Project title: ~I~~~~J 1'e-~ ~~1'--~~ G~f~c~~~~,5~i.s~~ ~-~~11~~-5 L.,P ~'-~"~.1~.~ <br /> (loca ion and work description) <br /> Project manager /contact /private engineer: , <br /> v_TI ~ ( ~ ~ L'u ~3'\?~~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> 'r (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> rJ (length) (width) <br /> <br /> j Wastewater Stormwater Landscaping <br /> i <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> <br /> i <br /> FUNDING SOURCES: <br /> City Assessments Private _y~ Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> /C it /r <br /> APPROVED: <br /> Project Manager '"-A Date ' ~f~ <br /> Principal Enginee Date <br /> Facilities Manager Date <br /> City Engineer Date Ala <br /> FOR USE BY ADMINISTRATION /ONLY <br /> Capital Project No. ~ ~ ACK L~x,~. ~`7 <br /> GL Title ~'~~L~ Oc~3~'e. ~'SI?~-n~ <br /> Assigned l~ Date ~~L <br /> ` i <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ti : " j ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ~ Engineering Agreement ? Engineering Service Work Request <br /> ? Ity 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 T:Pfo~le~t-Manager, FEBRUARY 2002 <br /> <br />