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PROJECT AUTHORIZATION FORM <br />Service ID: <br />& <br />Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />Eu <br />ene <br />OR 97401 <br />SID PB JGL -/C6 JE <br />~ a <br />g <br />, <br />(541) 682-5560 <br />Project title: PS r-A A I <br />(location and work description) <br />Project manager / contact / private engineer: <br />PROJECT SCOPE: <br />Paving: Bike lane /paths: (widths) (width) <br />Concrete walks: Setback / Curbside <br />(length) (width) <br />Wastewater <br />Signal <br />Stormwater <br />Street lights <br />Landscaping <br />ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />City Assessments Private <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / <br />I P v _ C ra c° .~.am :.R -A <br />A~- <br />%RTMENTAL WC <br />Other department <br />Account code <br />fixed) <br />DESCRIPTION: <br />APPROVED: ) <br />Project Manager Date l / z <br />Principal En gineer lG ~fhVY~ 'eamt W tc, Date On <br />Facilities Manager Date / <br />City Engineer Date 1?f Z/ <br />FOR USE BY ADMINISTRATION ONLY <br />Q Q <br />Capital Project No. ql4>.-,q-5-X ACK s-1 1 - <br />GL Title <br />Assigned <br />Accounting by <br />ATT ENTS: <br />ud et Estimate <br />Date <br />Date <br />g ❑ Developer Agreement ❑ Engineer's Report On Improvement Petition <br />❑ SDC Budget Worksheet ❑ Engineering Agreement ❑ E Ing Service Work Request <br />❑ City Engineer's Initiating Order ❑ Public Improvement Permit Application L*,~Map <br />❑ Request for Scoping Meeting <br />ENG 415 WHITE / Finance YELLOW/ Administration File PINK/ Engineering File GOLDENROD/ Project Manager ✓UL Y2004 <br />