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1 V <br /> ~ .PROJECT AUTHORIZATION FORM ~-~1. Engineering <br /> i <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 /> i <br /> Project title: ' f~ r~ ~ ~ , F ~ /~,~~~.~r.~i~~ <br /> (locatio d ork description <br /> ~ <br /> <br /> ~ Project manager /contact /private engineer: g/~../~'~ <br /> PROJECT SCOPE: <br /> Paving: ~ (widths) Bike lanes /paths: <br /> (widrn/ <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 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 Date ~ Z <br /> Principal Engineer ~ Date <br /> Facilities Manager Date <br /> City Engineer ~ ~ Date ~/'Z~7 ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ I ~ ~ ACK <br /> GL Title 1~{' ~'r~ c,.2x-r l ~ 1<,~C~, <br /> Assigned y V Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> j ? 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 "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 />