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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <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: ~~ls/~?~ <br /> t J ~ <br /> (locati~~~ ~k~ raption) ~ 1 C~ 6~-~ ~ !"T~~ ~ ~~~'C~ 2~m ~ 6~~ <br /> Project manager /contact /private engineer: c~~~~ ~iL~ ~1 ~ ~ ~ <br /> PROJECT SCOPE: <br /> Paving: ~ Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> f(® ~ ~ 9th) fwid <br /> Wastewater ~ ~ Stormwater Landscaping <br /> <br /> i <br /> Signal Street lights ` ROW required <br /> New building construction Planning, other~L_ -~~l 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 /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer ~ Date <br /> /FrrO~~R USE BY ADMINISTRA~jTION O/~~NyyL~~Y yam/ <br /> Capital P~r'oj"ect No. ~'°a~ ACK ~ ~ I ~lgrCi~,~,~ ~ <br /> GL Title q ' 1~.-- ~ ~ - ~ A ~ <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 ngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ublic Improvement Permit Application ? Map <br /> ile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> <br />