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F <br />PROJECT AUTHORIZATION FORM <br />Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />~ (541)682-5560 <br />Service ID: L4 SID zPB -/GL /JC v JE _ <br />Project title: C~ ~ ~ tJ~ Fes,... k- !nJ c5~ 9 cP rr -CM e-T, S~ t,,- <br />`-(location and work description) <br />Project manage contact / private engineer: \-N" --,S c~D 1-~A N <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br />(widths) (width) <br />Concrete walks: <br />(length) <br />Wastewater <br />Signal <br />(width) <br />Setback / Curbside <br />Stormwater Landscaping <br />Street lights ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />City `'P -L-12 Assessments Private <br />",Zoo)006 <br />Fed / State / County / FAA <br />Other department <br />Account code <br />fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />APPROVED: <br />Project Manager <br />Principal Engine <br />Facilities Manage <br />City Engineer) <br />Date .S'"'3" Ze e <br />Date <br />Date <br />Date /U <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No 90-5 59~7R ACK JQ-g33k 6),~ ° qos- 9'1 <br />GL Title f fjo Js344N K,ri&ld - <br />Assigned by <br />Accounting by <br />Date `'3 4 b <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 9 Map <br />❑ Request for Scoping Meeting <br />ENG 415 WHITE / Finance YELLOW/ Administration File PINK/ Engineering File GOLDENROD/ Project Manager ✓ULY2004 <br />