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l~ <br /> ~ V <br /> t~ Engineering <br /> PROJECT AUTHORIZATION FORM Public Works <br /> i <br /> ~ ; - City of Eugene <br /> 858 Pearl <br /> ' Eugene, OR 97401 <br /> i ~ / ~ / ~ ~ ~ (541) 682-5291 <br /> Service ID:__ "7 ^ SID~/PB GL JC JE <br /> Project title: p ~;~-__~~i'i~~Y~__~~~f 5°~ <br /> (locationanp'~vo~cdes/lQ~Con) ,~~tr~'/\- cry",q~ ~//~~.~7/T~ T/s/ /q / /~,Q~~ Q/~/~~ <br /> !/~~Li`/~k ~.~-L{ ~~~,V1 V/y_ f \ 4~" °^_-~-Lj~6,V~/g/1~l iV~/` d ~ L ni-eJ <br /> Project manager /contact /private engineer: ~ 5~~~~~(~ '~d ~.r ~ . <br /> PROJECT SCOPE: <br /> Paving: ~ ~ ( t J ~ ' Bike lanes /paths: / <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) rr Kndtlll <br /> Wastewater ~ Stormwater l~ ~ 5 Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other ~ Remodel <br /> <br /> i <br /> FUNDING SOURCES: <br /> City Assessments Private N Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager Date - /b <br /> Principal Engineer Date 0 ~ <br /> Facilities Manage Date <br /> City Engineel_, Date /Z ~ 3 /o <br /> FO?.R~~USE BY ADMINISTRATION ONLY -n ~ <br /> Capital Project No. ~ 7 ACK ~ ~ ~ <br /> GL Title <br /> Assigned ~ Date <br /> Accounting by Date <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 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 /> <br />