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Engineering <br /> PROJECT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> 858 Pearl <br /> ~ Eugene, OR 97401 <br /> j~ O/s (541)682-5291 <br /> = Service ID; ~ SID PB GL JC JE <br /> Project title: l.~ "V ~ r.d9 V ~ <br /> (locationa~o descr~ptioq „ <br /> Project manager /contact /private engineer: ~ <br /> ~ ~ l' <br /> PROJECT SCOPE: r j <br /> Paving: 4 _ ~ Bike lanes /paths: (w;dth) <br /> ~atns) <br /> Concrete walks: Setback /Curbside <br /> f ~ (length) (wj~th) <br /> Wastewater _ Stormwater Landscaping <br /> Signal Street lights ROW required <br /> i <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> I <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> i COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 4k \ <br /> <br /> F <br /> <br /> f <br /> <br /> p <br /> v <br /> APPROVED: <br /> Project Manager ~ Date <br /> Principal Engineer ~ Date ~ <br /> Facilities Manager Date <br /> City Engineer Date ~ Z 9 0 <br /> <br /> ~ FOR USE BY AD <br /> MINISTRATION ONLY <br /> Ca ital Project No. ~ / ~ ~ ~ ~ ACK Or'c~~'.~ ~jj ~ <br /> p 1 ~ <br /> GL Title ~ ~-e..~n .~t~:~t.~'1 `7(1.;~ ~ i ~ i t~~''l <br /> F <br /> Assigned by Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDG 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 /> °7~ <br /> <br />