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/ 1~ <br /> Engineering <br /> PROJECT AUTHORIZATION FORM Public Works <br /> i <br /> City of Eugene <br /> ~ . 1 858 Pearl <br /> / Eugene, OR 97401 <br /> q i/ (541) 682-5291 <br /> Service ID: ~ ~ r ~ is <br /> SIDV PB GL JC JE <br /> Project title: ~ ~ ~ l~l l O ~ ~ <br /> ~ (location a work descriptio) <br /> I r rr ~a <br /> Project manager /contact /private engineer: ~ ~ ~ ~ L,~ Y ~ ~ 1~~~' (V~ o <br /> PROJECT SCOPE: <br /> Paving: - ~ ~ ~ ~ Bike lanes / aths: <br /> (widths) p (width) <br /> Concrete walks: Setback / urbside <br /> ff (length) (widt ~j <br /> Wastewater _ Stormwater ~ 9 ~'"I Landscaping <br /> ~ Signal Street lights~~ ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> i <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ,r <br /> o ~ <br /> E r ~ <br /> I <br /> APPROVED: <br /> Project Manager ~ Date <br /> i! Principal Enginee Date <br /> Facilities Manager Date <br /> City Engineer ~ Date ~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> i <br /> Capital Project No. "1 ACK ~~C ~ ! `-t <br /> GL Title l~L~-- G~.X-~-~ ~ ~L~~ <br /> e <br /> Assign d by Date <br /> Accounting by Date <br /> i <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 "~,Iblic Improvement Permit Application ? Map <br /> `ile Request Form <br /> <br /> ! <br /> <br /> ~ ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> ~~p~ <br /> <br />