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PROJECT AUTHORIZATION FORM Engineering <br /> j Public Works <br /> ( ; City of Eugene <br /> I ` • 1 858 Pearl <br /> Eugene, OR 97401 <br /> j ~~l (541) 682-5291 <br /> Service ID: SID V ~Q ~GL w JC ~JE <br /> Project title: ~ 1 ~`T ~ T ~"~S'¢ l~'~ C~1,~1~s~ <br /> (locate and rk d scnption <br /> ~ Project manager /contact /private engineer: <br /> PROJECT SCOP <br /> Paving: f+~-~ , C~/~~~ ~ Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback CurK bside ~ <br /> I (length) (width) <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other ~ Remodel <br /> ~i FUNDING SOURCES: <br /> City Assessments Private ~ Other department <br /> Account code <br /> <br /> ,t Fed /State /County /FAA fixed) <br /> COMMENTS ®SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WO K DESCRIPTION: <br /> APPROVED: l ~ ~ ` ~ <br /> ~ Project Manager ' ~ Date f-~'d` <br /> ! Principal Engine r Date <br /> Facilities Manager Date <br /> City Engineer- Date /~l~ <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> ~i Capital Project No. ~ ~ SACK ~ <br /> ' GL Title ~ ~-1 ` L~ l.~'~ ~~'r ~ ` <br /> Assi ned C~.~---- Date <br /> 9 <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet gineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order blic Improvement Permit Application ? Map <br /> ~ile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> j <br /> <br />