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- . wry. - _ v.,,a ,,,w - - ,eve d 9 w ~ y ,.:r:._ y.~...., <br />PROJECT AUTHORIZATION FORM Public eo"g <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />/ Eugene, OR 97401 <br />(541) 682-5560 <br />SID PB GL JC` JE <br />y\ a V .(A J~ 011/1 <br />i . <br />Project manager/ contact./ private engineer: Gj "k e cat Q 1rr <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br />(widths) (width) <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, URCES: <br />City Assessments Private Other department <br />Account code <br />Fed / State / County / FAA fixed <br />COMMENTS/ PECIAL PROD CT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: OF <br />v~ V C In V •p <br />'S <br />Y-( AK M A, U In I O `LQ CA It <br />- <br /> <br />ll(A-API MV <br />f'h C) m '(Vi' r <br />APPROVED: <br />Project Ma a r g Date <br />A t!t <br />Date <br />~eci ' enager Date <br />Ineer- l1 t:~:,. t Date <br />Project title: -__n <br />(/oceti n and wodr <br />ATTACHMENTS: <br />❑ Budget Estimate Developer Agreement ❑ Engineer's Report On Improvement Petition <br />❑ SDC Budget Worksheet ❑ Engineering Agreement D Engineering Service Work Request <br />❑ City Engineer's Initiating Order„ ❑ Public Improvement Permit Application ❑ Map <br />Request for Scoping Meeting <br />Q FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ACK 31 ~ ~ 2Zb <br />GL Title S8C 1 vIr&6 ' ( Ui <br />Assigned C Date <br />Accounting by Date <br />ENG 415 WHITE'/ Finance's :YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager ✓UL K2004 ` <br />