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PROJECT AUTHORIZATION FORM <br />Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />/ q (541) 682-5560 <br />Service ID: SID PB -P!!~ GL / JC J JE <br />Project title: '?t=5°L'9A i ~ tc'~ sSYedtt~a - tLL461 L LE-, If. <br />(location and walk descapGOnJ_~~ v ~ d <br />Project manager / contact / private engineer: D&-\t i D S 1 <br />PROJECT SCOPE: <br />Paving: a (w/dlhs) Bike lanes / paths: <br />(width) <br />Concrete walks: Setback / Curbside <br />(/-79th) (width) <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUN NG SOURCES: <br />Cit . fit)-eoc? Assessments <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / <br />Private <br />ARTMENTAL WORK DESCRIPTION: <br />fixed) <br />APPROVED: A)~'- L <br />Project Manager Date <br />Principal Engineer Date 0 <br />Facilities Manager 9 - Date <br />City Engineers ~t-r~- Date - 1 <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. 90's-10,1 q ACK 3,33' 93a-L-t"-y x-;~- qq® F&/~ <br />GL Title <br />Assigned by <br />Accounting by <br />ATTACHMENTS: <br />Budget Estimate <br />Other department <br />Account code <br />Date ~ _ <br />Date <br />❑ 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 Fife PINK / Engineering File GOLDENROD/ Project Manager ✓ULY2004 <br />