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_ <br /> V _ . <br /> i <br /> j PROJECT A ~ <br /> UTHORIZATION FORM <br /> Engineering <br /> ~ Public Works <br /> f~ City of Eugene <br /> f SeNice ID: li ~ 858 Pearl <br /> t Eugene, OR 97401 <br /> ~ Project title: SID pg GL (541) 682-5291 <br /> C- ~ yq~ i _ JC ~ JE <br /> (location a_nd work descripti°n)~~ <br /> ~ ~l.. <br /> .d~ ~f <br /> Project manager /contact /private engineer: 'r <br /> PROJECT SCOPE: <br /> a <br /> Paving: <br /> Concrete walks: (w'dths/ Bike lanes /paths: <br /> t <br /> Wastewater (iengthJ Setback /Curbside (width) <br /> f (width) <br /> Stormwater C <br /> Signal - Landscaping <br /> New building construction Street lights <br /> ROW required <br /> Planning, other <br /> i <br /> FUNDING SOURCES: Remodel <br /> City _ <br /> <br /> "i Assessments private ~ <br /> Fed /State /County /FAA Other department <br /> Account code ~ <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DES <br /> ~l fixed) { <br /> CRIPTION: + <br /> i <br /> i <br /> f' . <br /> i <br /> i <br /> i <br /> APPROVED: o ! . <br /> Project Manager ~ ~ ~ ~ <br /> Principal Engineer ~ <br /> Date i~ j ~ ~ <br /> Facilities Manager <br /> Date 3 ~ S 6 <br /> City Engineer <br /> Date <br /> Date ~l,~ yr; j~ <br /> I <br /> FOR USE BY ADMINISTRATION <br /> ONLY i <br /> Capital Project No. <br /> GL Title ~1 ~ _ i <br /> i <br /> Assigned b E~ <br /> Accounting by Date ~ ~ j <br /> Date <br /> ATTACHMENTS: ~ . <br /> ~ ? Budget Estimate ( <br /> ? SDC Budget Worksheet ? Developer Agreement I <br /> ? City Engineer's Initiating Order n9lneering Agreement <br /> ? Engineer's Report On Improvement Petition i <br /> ile Request Form ublic Improvement Permit Application ? Maplneering Service Work Request i <br /> i <br /> ENG 415 <br /> WHITE /Finance YELLOW /administration File PINK /Engineering File GOLDENROD /Project Mana er a <br /> ~ ~ ~ 9 FEBRUARY2002 ' <br /> <br />