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,,,V <br /> Engineering <br /> PROJECT AUTHORIZATION FORM Public Works <br /> <br /> I City of Eugene <br /> 858 Pearl <br /> Eugene, OR 97401 <br /> . / ~ ~ (541) 682-5291 <br /> Service ID: i ~ a SID PB GL JC (~JE <br /> Project title: Vim' ~ ~ ~ ~ t` <br /> (location ork esr,`iptipn~ ~ -,~-w <br /> Project manager /contact /private engineer: ~ t~ 9'~d/ ~ °~'~7..,~--~~~ <br /> PROJECT SCOPE: ~ f <br /> Paving: r ~ Bike lanes /paths: <br /> . (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) i <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 ~ Date - <br /> Principal Engineer Date ~ <br /> Facilities Manager Date <br /> City Engineer . Date lv 91-- <br /> FOR USE BY ADMI//NISTRAC~TION ONLY <br /> Capital Project No. ~ ~ ACK L~~ ~ ` C~a~ ~ ~ ~ ~ <br /> GL Title ~"t'~ ~ i ~~1 <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 ublic Improvement Permit Application ? Map <br /> File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> <br />