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S ^ 0 <br />PROJECT AUTHORIZATION FORM <br />V-W 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 _ JC JE _ <br />Project title: ~(1 i=C rc l i cc :5,-Lc-ho-1 • C u i <br />(location and work dascdplion) - <br />Project manager/ contact/ private engineer: M i 11,e <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br />/widths/ /width/ <br />Concrete walks: Setback / Curbside <br />(widlhJ <br />(1-9110 <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />City 5 i 5k(-M -yy,, <br />~'Assersments _ Private <br />Other department <br />Account code <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />( fixed) <br />- <br />t\CLe(11 1,15eCo fur- 0,ol,4ec-f _ Q_Ie% 6(2-X /1/4 (,c)-1,4, <br />f7liYlii l(Se _ l'Y11i~ /i? % ?~If(! , <br />APPROVED: <br />Project Manager <br />0 _vll~{ <br />~r~nr1C]Irl~l <br />City Engineer <br />s <br />Date <br />Date <br />Date <br />Date <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ACK <br />GL Title <br />Assigned by Date <br />Accounting by 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 ❑ Map <br />❑ Request for Scoping Meeting <br />ENG 415 WHITE/Finance YELLOW/ Administration File PINK/ Engineering File GOLDENROD/ Project Manager ✓UL Y aftL <br />