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f <br /> PROJECT AUTHORIZATION FORM ~ Engineering <br /> Public Works <br /> City of Eugene <br /> j ~ 858 Pearl <br /> - ~ Eugene, OR 97401 <br /> I , / ~ ~ ~ ~ (541)682-5291 <br /> Service ID: '7'~/ ~ SID f/ PB _ GL JC JE <br /> i <br /> Project title: ~~<~~~L~s ~.~(~tg~1 ~c5/~/~,~ <br /> (location and work description) <br /> ,Z ~v~E~ sT ~ A~Cu~,~s a Gurr~'e in/w a p,P~' <br /> <br /> i <br /> Project manager /contact /private engineer: ~(,~~~~,~,~JG'-r ~ <br /> PROJECT SCOPE: <br /> Paving: ZI ~ A'C AJ~ CU2$ PI ~I~F.-~ Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback / <br /> ur.~ bside> <br /> (le9~th) (width) /1 ~'r <br /> Wastewater g Stormwater /Z Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other 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 /> L3 LdT ~ 8D/ ~/15/Dit! OFF F'/ I/,FL~ i~/~uJ ~T <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date ° S O~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK <br /> GL Title <br /> Assigned by Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> i" ' <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ~1 Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order C~ Public 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 />