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PROJECT AUTHORIZATION FORM f~~ ~ Engineering <br /> Public Works <br /> City of Eugene <br /> 858 Pearl <br /> Eugene, OR 97401 <br /> Service ID: SIDS P GL JC ~E (541) 682-5291 <br /> Project title: 1~ e 1~~ <br /> I (location and wor description) <br /> Project manager /contact /private engineer: ~ / ~ ~ / r <br /> PROJECT SCOPE: f <br /> Paving: Bike lanes /paths: <br /> ~ (widrns) (widen) <br /> Concrete walks: Setback /Curbside <br /> (length) ,(wid~#~ <br /> Wastewater Stormwater ~ ~ Landscaping <br /> Signal Street lights 'q'' ROW required <br /> <br /> ~ New building construction Planning, other ~ ! ~ Remodel <br /> FUNDING SOURCES: 9 <br /> City Assessments Private ~ Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ <br /> APPROVED: <br /> Project Manager ~ r'~.~ Date ~ <br /> Principal Engin er Date <br /> Facilities Manager Date- <br /> City Engineer Date ~ <br /> FOpR~ USE BY ADMINI~2STR(-aATION ONLY ~7 <br /> Capital Project No. ~ 1 `~'I' ~ -7 ~ ACK s~, i~~ J~~~ r ~ <br /> GL Title ~ ~ ~ ~ ~ ~ <br /> Assigned y 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 /> File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> <br />