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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 ZJC JE ( <br />Project title: -6 r 0,014-S ug- or- - Sl-a RD-1 / 5t Ae re. t C- - <br />(i honandwo,*dascdpvon) <br />mow. <br />r- <br />Project manager / contact / private engineer: ter C-!=, S-) <br />PROJECT SCOPE: <br />Paving: (Worths) Bike lanes/ paths: <br />(width) <br />Concrete walks: <br />(/engffi) <br />Wastewater <br />Setback / Curbside <br />(width) <br />Stormwater j 2&97 /1 Landscaping Swe (fze:~eL, " v--- <br />,od <br />Signal Street fights 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 / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />APPROVED: <br />Project Manager Date 7-3 <br />Iz1 <br />Principal Engineer Date <br />Facilities Manager Date _ <br />City Engineers Date zaho <br />FOR <br />USE BY <br />ADMINISTRATION ONLY <br />Capital Project No. <br />L <br />e~ <br />ACK 6-3 I -9 331E ~CY~' - [Ct S~ ~~a <br />GL Title -8--ni <br />e e <br />/ <br />Assigned by <br />Date <br />Accounting by Date <br />ATJACHMENTS: <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 lil lap <br />❑ Request for Scoping Meeting <br />ENG 415 WHITE/Finance YELLOW/ Administration File PINK/ Engineering File GOLDENROD/ Project Manager ✓ULY2004 <br />At~- t E f- i <br />