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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> - City of Eugene <br /> - 858 Pearl <br /> '1 <br /> ' ~ Eugene, OR 97401 <br /> ` f~ (541) 682-5291 <br /> Service ID: ~V" Q> SID PB ~GL JC JE <br /> ' Project title• e <br /> ~ ,-1711 J V~"i ' l2~ l~ ~t.~ l~"19~4-`~ <br /> (loc k ~ ~ y <br /> I tl <br /> ' Project manager /contact /private engineer: ~ ~ ~ ~IV L,~j ~ ~L~ <br /> - j ~ <br /> PROJECT SCOPE: <br /> I Paving: <br /> <br /> I (~drns/ Bike lanes /paths: <br /> <br /> ~ (widtn) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <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 /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~o s/rJ ~ I~i/i <br /> ~le~ E_hccd /7r o n , <br /> f <br /> ~ ~dcc{~j <br /> ~aTVo ~i de aH acla~i <br /> 7~c ~ka/ <br /> We ~n d s~ ® Lios~co St~ri~! <br /> , <br /> ~ ~ /Q d ~Cc dv~ <br /> ~"K CJVf~ <br /> = APPROVED: <br /> Project Manager Date - <br /> Principal Engin r Date ~ <br /> Facilities Manager Date <br /> City Engineer Date 7~s~~°Z <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project Noy ~ ~ ~ / ~ ACK ~ ~ r ~ ~ ~ ~ 7 <br /> GL Title l- fTi`l~ ~oQ~ V/ice ~ ~~~~d b,~..j ~r~//~~ <br /> Assigned by ~ ~ Date g~ ~ <br /> Accounting by L~ 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 />