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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> ° Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: SID PB GL"JC ~JE~ <br /> Project title: c-t ~O ~ ~ Ar/J A7 S "~Yf/~, ~ <br /> lion and work descripiio J <br /> n[ /t ~ "-K~ <br /> J Project manager /contact vate engineer: t r°~ A- t,J L~ Zt4~JGh En i N t~I2~ n <br /> PROJECT SCOPE: ii~~,,..,,~~,,~~ <br /> Paving: ~ 6~~c~~c% ~ a~ lS y~J L Bike lanes /paths: ~ <br /> (widlhsJ (width) <br /> Concrete walks: Setback /Curbside <br /> (/engthJ (widlhJ <br /> Wastewater ~ Stormwater / Landscaping <br /> Signal _ ~ Street lights ~ ROW required / _ <br /> <br /> 1 <br /> New building construction Planning, other~~~C /~~®t~~Remodel /mil LsJr7 t fir' <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 /> - <br /> APPROVED: ~""1 <br /> Project Manag r -s- Date 3 8 <br /> Principal Engineer Date ~ <br /> Facilities Manager Date <br /> City Enginee ~ Date ~ ! ~Gl <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. J ~ ~ ~ ~ ACK ~1/~~~~~ <br /> GL Title <br /> As ned by Date ~ ~J <br /> A counting b 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 Initiatin Order ? Public Im rovement Permit A lication ? Ma <br /> g P pp p <br /> <br /> i <br /> ? Request for Sco in Meetin <br /> P g g <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JULY2004 <br /> <br /> i <br /> <br />