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e <br />x <br />PROJECT AUTHORIZATION FORM <br />Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />Service ID: SID PB <br />/ ur GL ZJC Zi/04 <br />Eugene, OR 97401 <br />(541) 682-5560 <br />Project title: Vj N, SA- ~ Ydny, In NJ ~ r <br />- loca+,e- ± LN-c <br />S <br />(location and work desc iption) <br />1 O`er re <br />~~u V <br />Project manager / contact / private engineer: <br />SSG~v,~e <br />PROJECT SCOPE: <br />t <br />Paving: (widths) <br />Bike lanes / paths: <br />(width) <br />Concrete walks: <br />Setback / Curbside <br />(/ength) (width) <br />Stormwater <br />Wastewater <br />Landscaping <br />ii <br />Signal M'10(-Al e f. 0 (`V,-- Street lights (A e-S <br />ROW required <br />New building construction _ Planning, other <br />Remodel <br />FUNDING SOURCES: <br />City Assessments Private Other department <br />Account code <br />Fed / • tate County / FAA ICI. fixed) <br />COMME S J SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />APPROVED: <br />Project Manager , Date <br />Principal Engineer Jt2c ~L~c'y PPcG~ Date <br />Facilities Manager Date _ <br />City Engineer ~ Date <br />~-7 FOR ~U~-S'E BY ADMINISTRATION ONLY <br />Capital Project No. ~ / 7 ACK 4e,31 7X-x <br />GL Title V 04, U <br />Assigned by Date <br />Accounting by Date <br />ATTACHMENTS: -14 <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 />