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6. ; r~, <br /> <br /> 1 <br /> PROJECT AUTHORIZATION FORM Engineering <br /> j Public Works <br /> City of Eugene <br /> ~ 858 Pearl <br /> Eugene, OR 97401 <br /> , (541) 682-5291 <br /> Service ID: SID ~ PB ~GL~ JC ~JE NL <br /> Project title: (t ~t~ ~ ~ °c <br /> (location an work gsgn iqn ~ t~~1~A ~ ~ I l 16 ~ 1. <br /> IO°1 I env( ill. n.a4 ^ p C~ ~ ~ n <br /> Project manager /contact /private engineer: ~ d " VL~j ~ ~G <br /> PROJECT SCOPE: ~ ~ <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> n ~ (length) j (y~~h~ <br /> Wastewater fi Stormwater 1 Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other 1 0 ~ - 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 <br /> Principal Enginee Date <br /> Facilities Manager Date <br /> City Engineer Date l<3 ®2.._ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ? ~J`` ACK (F ~ ~ <br /> GL Title <br /> ~s <br /> Assigned by Y Date g' ~ ~ <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 c ? Map <br /> File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> <br />