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PROJECT AUTHORIZATION FORM <br />Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />e4jyugene, OR 97401 <br />q~ I V7 0"-(541) 682-5560 <br />Service ID: + SID PB -/GL JC JE <br />Project title: ~ C- w\- e ~r t`~t,_C L r 16MO A/ i 0 05 o C (location and work description) <br />Project manager / contact / private engineer: r r ~c 3 d <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br />(widlhsJ (widlh) <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 S CES: y <br />City SL ZV' '31 Assessments Private <br />Fed / State / County / FAA <br />NIMENTS / SPECIAL PROJECT INFO. / <br />Other department <br />Account code <br />fixed) <br />AL WORK DESCRIPTION: <br />~e~9 r (0 3 ~ct✓1 i o" V-1 IK(J zS ~c5 rfc I. ~L/ ~~io~. rSSt2 Z!7 1,-G.7 need <br />J <br />f`r' eo e. j `ce a't 'o,15 occt r/>=r & 0 / r1 J <br />Iloi I'; 4z. t~'''cSee.C is i ~~~1 e~int2 CcS n l~2-vc l SC~~2es t"❑o✓1P4 °*,(i c~e+, ~a L"c'L Sd'i i vac clL6~ <br />-D 10-z l t~1.~ . J e J C2~ f ~ jt"` 5 t Ca C` <br />APPROVED: <br />Project Manager \ Date <br />Principal Engineer Date <br />7 <br />Facilities Manager 41 Date <br />City Engineer Date <br />r7~ FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ACK x) xx - ~ 6' 67/p <br />GL Title !0 r t <br />Assigned bye';, <br />Accounting by <br />Date 1/ <br />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 />❑ Request for Scoping Meeting <br />ENG 415 WHITE / Finance YELLOW/ Administration File PINK/ Engineering File GOLDENROD/ Project Manager ✓ULY2004 <br />