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n <br /> '~1 <br /> PROJECT AUTHORIZATION FORM ` ` Engineering <br /> Public Works <br /> <br /> i <br /> City of Eugene <br /> <br /> ~ 858 Pearl <br /> Eugene, OR 97401 <br /> <br /> ~ ~ _ / - ~ _ / (541) 682-5291 <br /> Service ID: ~ ~ ~ y SID PB V GL ~ JC iii~rs JE <br /> Project title: Iii E c 1 ~7"f~ ~ ~ C~ E <br /> (locati d wor escri tio) ,r~ ~ A ~ <br /> Project manager /contact /private engineer: f~ L...- ~ ~ <br /> i <br /> PROJECT SCOPE: <br /> j Paving: Bike lanes /paths: <br /> (widrns) (widrn) <br /> j Concrete walks: Setback /Curbside <br /> ~ (length) (width) <br /> ~ Wastewater Stormwater Landscaping <br /> I <br /> Signal Street lights ROW required <br /> New building construction Planning, other ~T~~ _ 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 /> I <br /> I <br /> ~ <br /> i <br /> i <br /> i <br /> APPROVED: - <br /> j Project Manager Date v <br /> ~ Principal Engineer Date ~ ~ `b <br /> Facilities Manager Date / <br /> ~ City Engineer Date l°(l R O <br /> FOR ~ USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ~ ~m` ACK ~ ~ ~=J~~ <br /> GLTitle ~ ` <br /> Assigne y ~ Date ~ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? 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 FEBRUARY 2002 <br /> ~ <br /> <br />