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' V <br /> PROJECT AUTHORIZATION FORM /~T"' ~ ~ Engineering <br /> Public Works <br /> ! ~ 58 Pearigene <br /> Eugene, OR 97401 <br /> (541)682-5291 <br /> Service ID: ~ ~ SID " PB GL JC JE <br /> <br /> _i Project title: ~ ~ ~ ~ l ~ <br /> (location n wprk descri ' r~ <br /> Project manager /contact /private engineer: ~~~T <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widrns) (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 1~ Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~fl IO~~ w,~i~ ~t.I <br /> APPROVED: <br /> Project Manager k Date <br /> Principal Engineer Date ~ <br /> Facilities Mana a Date <br /> City Engineer ~ L~--- Date 9 <br /> FOi~R/ USE BY ADMINISTRATION ONLY ~j <br /> Capital Project No. ~ ~ ~ ` ~ ACK ~ ~ ~ ~ ~ ~p+C~x7c / <br /> GL Title ~ <br /> F <br /> Assigned 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 / Ad[m~inistration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY 2002 <br /> -1 <br /> <br />