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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 /> i <br /> Service ID: ~ SID PB ~ GL ~ JC ~ JE e <br /> _ <br /> Project title: ~Y ~ ® ~ ~~~~f' g~'/~- / <br /> (1°cahon n wp d scdpti° ) <br /> ~ ~ C <br /> Project manager /contact /private engineer: <br /> ~ PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> ~ ~ (length) (width) <br /> j Wastewater ~ Stormwater Landscaping <br /> I <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PR JECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> y . ~ l~ <br /> r <br /> APPROVED: <br /> I <br /> <br /> { Project Manager + Date ~ ~ <br /> Principal Enginee Date <br /> Facilities Manager Date <br /> City Engineer Date <br /> <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. t~ ~ ACK ~ (~;~,xuc~ <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 FEBRUARY 2002 <br /> ~I~ <br /> <br />