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j <br />PROJECT AUTHORIZATION FORM Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />pq&ice ID: q07 SIDZPB ZGL /JC ~ / 541) 6$2-5560 <br />! JE <br />Project manager / contact / private engineer: 1_~t C X <br />PQn.IFf_T S('nPF- <br />Paving: <br />Concrete walks: <br />Wastewater <br />Signal <br />00 X <br />(widths) <br />(length) (widlhJ <br />Stormwater <br />Street lights <br />New building construction Planning, other Remodel <br />FUNDI SOURCES: <br />C/i~tLY~ 5.OLX Assessments <br />V j <br />Fed / State / County FAA/ <br />Private <br />Bike lanes / paths: <br />(width) <br />Setback / Curbside <br />Landscaping <br />ROW required <br />Other department <br />Account code <br />( fixed) <br />COMMENT / SPECIAL PROJECT INFiiO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br />H I- L- _ i , 4 c I_ - - s--s _ L' _ e i-1-1 A P _ - f _ Y' 'n 7 3A n <br />APPR, I~ _ <br />Project Manager Date S zqq <br />OVED. ~ <br />Principal Engineer Date <br />n t Manager Date ' Z <br />T City Engineer •i -r Date z <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ACK 5i Z-q33 q- &,xxx° x c~~iFL32~ <br />GL Title <br />Assigned by <br />Accounting by <br />Date <br />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 I Finance YELLOW/ Administration File PINK/ Engineering File GOLDENROD/ Project Manager ✓ULY2004 <br />