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n <br /> 1 <br /> I <br /> PROJECT AUTHORIZATION FORM Engineering <br /> i <br /> Public Works <br /> i <br /> ~ City of Eugene <br /> 858 Pearl <br /> 10"' Eugene, OR 97401 <br /> Service ID: ~ ~ ? ? ~ (541) 682-5291 <br /> SID_ PB GL JC JE <br /> Project title: 1f ~ ~ ~ ~ ~ ~ ~ "a <br /> (iocatiory~~ work descdptio ) <br /> tltl~, ~ -T- <br /> Project manager /contact /private engineer: ~ ~ ~ ~ ~ ~ ~ ~ t <br /> PROJECT SCOPE: <br /> ~ Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> <br /> ~ Wastewater Stormwater 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 SP~CIAL PROJECT INFO. ~INT~R~~A~~RT~M`ENTAL~W/ <br /> ORK D~CRIPTION: ~ <br /> l..J <br /> APPROVED: <br /> Project Manager ~ Date <br /> Principal Engineer Date ~ ~ ~ <br /> . ~ <br /> Facilities Manager Date <br /> City Engineer Date r ~ Z <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ACK ~~1 ~~`X~C~ <br /> GL Title ~ ~ ~ /~"'YT(R.!-t?i'~-~~`~ <br /> Assigned by ~e~~~ Date ~ <br /> v <br /> Accounting by ~~~=-~'~-e Date / <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petitio <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 FEBRUARY 2002 <br /> <br />