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/ Engineering <br /> PROJECT AUTHORIZATION FORM ~I'1 ~ - Public Works <br /> City of Eugene <br /> j 858 Pearl <br /> ~ Eugene, OR 97401 <br /> SID w PB ~L r! JC ~,JE ~ X541) 682-5291 <br /> Service ID: <br /> Project title: <br /> (location and work description) <br /> ~ Project mana er /contact / rivate en Ineer: <br /> PROJECT SCOPE: <br /> Paving: (wldrns) Bike lanes /paths: <br /> (width) <br /> ' Concrete walks: Setback /Curbside <br /> (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 ~C Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> I <br /> <br /> E <br /> <br /> r <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date " 2~ ~©`i' <br /> FOR U$E BY ADMINISTRATION O>N_LY Y~ <br /> Capital Project No. ~ ~~4~ ACK ~ ~%~~1e; / <br /> ~ ,d <br /> Assigned y w ~ Date ~~~r <br /> Accounting y Date <br /> ATTACHMENTS: <br /> \I ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> t ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> ? File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> <br />