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i ' PROJECT AUTHORIZATION FORM ~ ~ Engineering <br /> Public Works <br /> i <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: ~ ~ ~ ~ <br /> <br /> 7 (location and work description) <br /> E <br /> Project manager /contact /private engineer. c i ` <br /> PROJECT SCOPE: <br /> Paving: ~ ~ ~ t ~ Bike lanes /paths: <br /> ~ ~ (wi s) (width) <br /> Concrete walks: Setback /Curbside <br /> j (length) dth)~~ <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 /> APPROVED: <br /> Project Manager at ~ - <br /> Prmapal Engineer - Date <br /> Facilities Mana Date - - <br /> City Engineer - ~ Date <br /> c <br /> k <br /> E <br /> FOR USE BY ADMINISTRATION ONLY <br /> c <br /> i Ca Ital Pro ect No. ~ ACK ~ ~ ~ ~ I <br /> p' 1 <br /> r <br /> GL Title <br /> Assig~ed Date <br /> Accounting by Date <br /> j - ATTACHMENTS: <br /> j ? 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 /> ~ File Request Form <br /> I <br /> ~ ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> i <br /> <br />