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i~~ <br /> PROJECT AUTHORIZATION FORM Engineering <br /> ~ Public Works <br /> I <br /> ~ City of Eugene <br /> 1 ~ 858 Pearl <br /> Eugene, OR 97401 <br /> Service ID: ~ (541) 682-5291 <br /> SID ~ PB ~GL JC °/JE <br /> ,~j <br /> Project title. ° f ~ <br /> ~ <br /> (locat~o nd odc descnphon) <br /> ~1 ~ <br /> Project manager /contact /private engineer: ~ c.~7 /.~~T t ~ <br /> I <br /> PROJECT SCOPE: <br /> Paving: (w,drns) Bike lanes /paths: <br /> (widrn) <br /> Concrete walks: Setback /Curbside <br /> (length) ~(j4idth) <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 /> ' CO MENTS /SPECIAL PR JECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> i <br /> <br /> ~ APPROVED: <br /> Project Manager Date ~ ~ ~ <br /> Principal Engineer Date ~ ~ ~ <br /> Facilities Manage Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATI <br /> ON ONLY <br /> Capital Project No. ~ ACK ~ XX~~ ~ ~T® <br /> GL Title 11~i~' S v~~~L? % ~ ~ <br /> Assigned by ~~i-' Date / <br /> r`° <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 ? Public Improvement Permit Application ? Map <br /> ile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> <br />