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Engineering <br /> PROJECT AUTHORIZATION FORM Public Works <br /> i~' <br /> City of Eugene <br /> 858 Pearl <br /> Eugene, OR 97401 <br /> (541) 682-5291 <br /> Service ID: SID ~ P GLJC JE <br /> Pro ect title: <br /> (location and ~ rk description) ~ <br /> ~ Project manager /contact /private engineer: ~ ~ ~~~c'~~ <br /> PROJECT SCOPE: ( <br /> Paving: t r ~ ! ~ ~ ~ Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) iC ff t°( <br /> Wastewater Stormwater ~ <br /> ~ <br /> A I Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other ~r,~ ~ 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 /> <br /> ~ tom-- ~il~~(~,~1 ~~~~~e~lL ~e~~~~~ . ~ <br /> i <br /> APPROVED: <br /> Project Manager Date <br /> Principal Enginee Date - <br /> Facilities Manager Date <br /> City Engineer - Date d~ ~ <br /> 2 FOR USE BY ADMINISTRATION ONLY a r <br /> Capital Project No. °-j ACK ~ ~°'~~x ~ r L ~ ~1~ <br /> i <br /> GL Title '~J ~~~~~.L.%~3~ ~ - '-i 1 ~ <br /> Assigned by Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> r- <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 /> ile Request Form P <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY 2002 <br /> l ~ <br /> <br />