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i <br /> .i PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> ~ 858 Pearl <br /> Eugene, OR 97401 <br /> V ~ (541) 682-5291 <br /> Service ID: ~ ~ SID PB GL V JC ~JE <br /> Project title: ~~~~C1~.~~3~ ~ ~ ( ~f`~ <br /> (loc nand work descripti° ) <br /> Project manager /contact /private engineer: ! ~ ~ <br /> ~ PROJECT SCOPE: I i~ <br /> Paving: ~ 1-~ Bike I nes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback urbside <br /> l f (length) (~dt~)~ f <br /> Wastewater ~ Stormwater ~ J Landscaping <br /> Signal ~11rd~0 Street lights ROW required <br /> <br /> i <br /> New building construction Planning, other ~~~~'r'"~- ~ Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private 1~ Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMM NTS /SPECIAL PROJECT INFO. / NTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager ~ Date - <br /> Principal Engineer Date 3 ~ ~ <br /> Facilities Manager Date <br /> City Engineer Date 3 / ~~lG ~ <br /> FOR UJSE BY ADMINISTRATION O/N~LY <br /> Capital Project No. s) ~ ~ ~ ~ I ACK ~ ~ ~ ~ t~ ~ ~ ~ <br /> GL Title ~ 'L ~ ~.e- ~cJ ~ ~ ~ <br /> Assig d by 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 />