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PROJECT AUTHORIZATION FORM Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />V/ Eugene, -597401 <br />,fir r / _,Q Q ~ (541) 682-5560 <br />Service ID: "j ( U SID PB /GL ZJC JE <br />Project title: 44u C r~s pr ai cu c- 1 t C~ C"~~ l raw eJ► <br />(ioc fio and work descdptionJ , _ <br />%%A 1AAP `rV & <br />Project manager / contact / private engineer: +T? U V' I i` <br />PROJECT SCOPE: <br />Paving: AM,CS'5 C16 i cn t (widihs) Bike lanes / paths: <br />(widihJ <br />Concrete walks: Setback / Curbside <br />(/ength) (widM) <br />Wastewater Stormwater ?~Q 4 5, ROCJ •O• Landscaping <br />Signal Street lights ROW required wl OYl <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />at 531 Assessments <br />719Wo Sw b <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERD <br />I <br />Private <br />Other department <br />Account code <br />( fixed) <br />-MENTAL WORK DESCRIPTION: <br />r n <br />C <br />APPROVED: ( / <br />Project Manager - mac (f0 Date I Z/ ©c1 <br />Principal Engineer 1 Date la 121 C~ <br />Facilities Manager Date <br />City Engine Date' <br />Q FOR USE BY ADMINISTRATION /ONN.LY <br />Capital Project No. L~& ACK n ~ <br />7,Z; 6r)O~'' L? dJ o / Lo <br />GL Title 0u_hC re k T <br />Assigned by <br />Accounting by <br />Dater <br />Date <br />ATJACHMENTS: <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 5e Map - C j~ <br />❑ Request for Scoping Meeting ' <br />ENG 415 WHITE/Finance YELLOW/ Administration File PINK/ Engineering File GOLDENROD/ Project Manager ✓ULY2004 <br />