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f <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ' City of Eugene <br /> i~ 858 Pearl <br /> in Eugene, OR 97401 <br /> " (541) 682-5291 <br /> Service ID: SID~PB GL ~JC ~ JE <br /> i j,, <br /> I Project title: A ~ ; fir' ~ ' ~ <br /> (location a ~dpensrlp~ti/gn) ~ _ ` <br /> 'Y ~ Y <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> <br /> i <br /> Paving: ~ Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: s~ ethark~ /Curbside <br /> (length) (width) ` ~ `l~ <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 IAL P pJECT INFO. / INTERDEPART ENTAL W K DESCRIPTION: <br /> ~ ~ ~ ~ ~ <br /> APPROVED: <br /> Project Manager _ a Date <br /> Principal Engineer F--a~~r"~.~ ~ ~ ~ Date <br /> Facilities Manage Date <br /> City Engineer Date ° ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No, ~~t~ Q ~ ~ ACK _ l!? JI ` ~,Q~:,/~~CX- r <br /> GL Title vv ~ rv' V v~' <br /> Assigned by Date ' ~ 'J ~ 7 <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet 1~ingineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ublic Improvement Per it A~plica#ion; ; ~ Map <br /> $~File Request Form ~ ~ I ` ' <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> <br />