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k <br /> q. <br /> i <br /> Engineering <br /> PROJECT AUTHORIZATION FORM Pubiicworks <br /> i <br /> i <br /> City of Eugene <br /> - 858 Pearl <br /> I~ ~l <br /> ~ ~ ~ ~ ~ Eugene, OR 97401 <br /> •~e~~~ (541)682-5291 <br /> Service ID: SID PB GL JC JE r" ~ <br /> Project title: 1--'~T'~ <br /> i (lon and N(oi degcripljgn) ~ ~ 1 ` • ` t ? V / \ ~i ~ ~ _ /1 <br /> ~~i~2 <br /> Project manager /contact /private engineer: uv ~ ~ ~ ~ V <br /> I <br /> PROJECT SCOPE: ~ <br /> 1 <br /> Paving: Z, ~ ~ Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> / I (length) (width) <br /> Wastewater ~ Stormwater ~ 2 r ~ ~ Landscaping <br /> Signal Street lights ROW required <br /> <br /> ' New building construction Planning, other D 2 ~ ~ ~ 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 /> APPROVED: <br /> Project Manager ~ Date r ~ - <br /> Principal Engineer Date ~ <br /> Facilities Manager Date <br /> City Engineer - - Date 1~/~~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ~ ~ ACK ~ _ ~ 3~f~ ~ r ~ / <br /> GL Title ~ ~l'~ <br /> Assigned by C~-~' Date ~ 1 ~l ~ <br /> ro ~y ~D <br /> Accounting by Date b 1 <br /> ATTACHMENTS: <br /> r ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> f: ? SDC Budget Worksheet 'F~ngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ~ublic Improvement Permit Application ? Map <br /> '~ile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY 2002 <br /> <br />