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PROJECT AUTHORIZATION FORM Engineering <br /> j Public Works <br /> City of Eugene <br /> j 858 Pearl <br /> Eugene, OR 97401 <br /> - ~ (541) 682-5291 <br /> <br /> ~ Service ID: ~ SIDS/ PB ~GL ~ JC JE <br /> Project title: U ~i~rt\ (e j •Caa'"\ <br /> (/ocahon ~gwork descnption) , ~ p <br /> Project manager /contact /private engineer: ~'~,l ~'V <br /> PROJECT SCOPE: <br /> i <br /> Paving: ~ ~ Bike lanes /paths: <br /> (widths) <br /> (width) <br /> Concrete walks: Setback /Curbside <br /> r~ ~ (length) !width) <br /> Wastewater ~ Stormwater Landscaping <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 /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager ~ Date <br /> '~,-'E~ <br /> Principal Engineer Date ~ ~r-~ <br /> Facilities Manager Date <br /> City Engineer Date 3 ~/S` <br /> FOR USE BY ADMINISTRATION ONLY c~ <br /> Capital Project No. •~-°C...~___ ACK J~ ~~7~~ ~~X-~-`~C ~ ~7C~~ l <br /> GL Title `~tv:.`a',.~ ~ <br /> Assigned y ~ j ~ Date ~ ~ ~ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> rx, <br /> ? SDC Budget Worksheet ~€ngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order °~'ublic Improvement Permit Application ? Map <br /> ile Request Form <br /> ENG 415 YNHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> <br />