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y <br /> V <br /> / <br /> ` PROJECT AUTHORIZATION FORM ~ Engineering <br /> l~ ~ Public Works <br /> - City of Eugene <br /> 858 Pearl <br /> - _ Eu ene, OR 97401 <br /> (541)682-5291 <br /> Service ID: SID - PB GL ~ ~JE g <br /> Project title: ~ 1 L.- f ~ V~-~ <br /> (locatio d work description) <br /> Project manager /contact /private engineer: _ 6yt~ ~..~r 1-~ ~ rt ~ / ~ p ~ , <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> t( (length) (width) ~ (f <br /> Wastewater ~ Stormwater ~ Landscaping <br /> Signal Street lights ROW required <br /> ~.)_°.i ~ <br /> ~ New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> a <br /> ~ City Assessments Private_~ Other department <br /> ~ Account code <br /> Fed /State /County /FAA fixed) <br /> I <br /> ~ COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> E <br /> <br /> i <br /> <br /> E <br /> <br /> I <br /> <br /> I <br /> APPROVED: ` <br /> Project Manager ' ~ Date ~ ~ ~ V~l <br /> Principal Engineer ~ Date ~ ~ ~ C <br /> Facilities Manager Date <br /> City Engineer Date ~ <br /> )FOR USE BY ADMINISTRATION ONLY / <br /> Capital Project No. °t ~ ~ ACK ~ ~ ~~~-X i`i <br /> GL Title ~ 0 1~`~'~''~ F'°"7 ~ v l' <br /> Assigne by Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> } ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet c^~Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order Public Improvement Permit Application ? Map <br /> ile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration Fle PINK /Engineering File GOLDENROD /Project Manager FEBRUARY 2002 <br /> <br />