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PROJECT AUTHORIZATION FORM Engineering <br />Public Works <br />R A City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />�� (541) 682 -5560 <br />Service ID: `�' `�, SID�y PB GL JC JE <br />Project title: 0,oe! t �� ! ` �+ I m {' ' - e W'� - � F %CC+ <br />( /0cation and wofk deSCI 017) <br />Project manager / contact / private engineer: Jey f-PY W1 tee X ,92, - <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: 5VO <br />( /enov <br />Wastewater <br />Signal <br />New building constructi <br />Bike lanes / paths: <br />idfhsJ ( <br />`t 5 <br />Setback/ Curbside �7fs7 V� <br />(width) <br />Stormwater Sia>rtC�� Pi Landscaping <br />Street lights <br />Planning, other <br />FUNDING SOURCES: <br />City ,X <br />Assessments —) (- Private <br />Fed / State / County / FAA <br />ROW required <br />Remodel <br />Other department <br />Account code <br />fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />r 9 L, ,r en I t , �-1- a-- Q I /] 1 <br />APPROVED: <br />Project Manager a '4 Date /� --- <br />Principal Engineer Date 0z <br />Facilities Ma 0< 0 Date — <br />City Engineer <br />Date <br />ATTACHMENTS: <br />M 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 9 Map <br />❑ Request for Scoping Meeting <br />ENG 415 WHITE / Finance YELLOW/ Administration File PINK/ Engineering File GOLDENROD/ Project Manager JUL Y2004 <br />