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s. < <br /> ~ ~e <br /> PROJECT AUTHORIZATION FORM ~ ~ Engineering <br /> Public Works <br /> ~ City of Eugene <br /> F 858 Pearl <br /> .~~d-s~.. ~ Eugene, OR 97401 <br /> ~ / (541) 682-5291 <br /> Service ID: ~1.6<=.~-.~ SID ~PB GL JC v JE <br /> Project title: ~ ~l.~dV 11V1 1~_~ <br /> ~ (localiop'prjp' wo dption) ~ ~ ~ _ A s <br /> IY~-\V9 ~ ~vvYY(~~)--///1/11, ~T~t <br /> Project manager /contact /private engineer: t~~`1° ~ 1~~~~~T ~ ~ ~q'~~.~~ (~.-f <br /> PROJECT SCOPE: l , <br /> Paving: ~ ` ~ Ik ~ 7 ~ ~~I~ Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> ~ f( (length) f~dth) <br /> Wastewater ~ Stormwater Landscaping <br /> Signal Street lights ROW required <br /> C71 <br /> j New building construction Planning, other~T"D [ ~ 1 Remodel <br /> <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 /> <br /> i O~frCr~"l2 <br /> <br /> t <br /> APPROVED: <br /> Project Man er ~ Date <br /> Principal Engineer Date 3 ~ ~ <br /> Facilities Manager Date <br /> City Engineer Date ~12~ oZ <br /> FOR USE BY ADMINISTR2RATION ONLY <br /> Capital Project No. ~ / ACK ~J' ~X~xX `~~~5'~ <br /> GL Title V~,CV~/1 J'Y~-~ ~l.(_1J <br /> Assigned by Date D <br /> Accounting by ~ K Date ~ Q <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 /> .~i~~o~~ <br /> <br />