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PROJECT AUTHORIZATION FORM Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />A Eugene, 0 401 <br />/ I(P 0 (541) 682 560 <br />D: 467 ~ <br />Service I SID P^B~ GL JC JE <br />Project title: <br /> <br />(location and work description) a <br />Project manager / contact / private engineer: 5c 0 <br />C <br />PROJECTS OP <br />~~f= - rwrti v <br />4 p=hi' <br />-lz_ o `'t <br />~~,'-tce.h c <br />'u' [~p` S <br />Bike lanes /paths: <br />(widths) <br />(widlhJ <br />Concrete walks: <br />Setback / Curbside <br />(length) <br />(widlhJ <br />Wastewater <br />Stormwater <br />Landscaping <br />Signal <br />Street lights <br />ROW required <br />New building construction <br />Planning, other <br />Remodel <br />FUNDING SOURCES: <br />City Assessments <br />Private <br />Other department <br />~'t <br />30 <br />Account code <br />Fe < State County/ FAA <br />1 <br />fixed) <br />COMMENTS / SPECIAL P OJE T IN O. / <br />INTE DEPARTMENT L WORK DESCR PTION: <br />C 6-1 <br />1 <br />z i <br />2 5,3 3~ , <br />r6 i 1J <br />`'izCZr'f~, s' 'Ti..s, <br />Tic X <br />rr c . S a ~ <br />APPROVED: <br />Project Managers <br />ir, <br />Date <br />Principal Engineer <br />Date j4 0? <br />Facilities Manager <br />Date_ <br />City Engineer G <br />Date Ca <br />FOR USE BY ADMINISTRATION ONLY 90531. <br />0 V <br />Capital Project No. A3' ACK 341 " 933-z- Assigned by <br />Accounting by <br />Date f! <br />Date <br />~TACHMENTS: <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 />❑ Request for Scoping Meeting <br />ENG 415 WHITE/Finance YELLOW/ Administration File PINK/ Engineering File GOLDENROD/ Project Manager JUL Y2004 <br />