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f <br />`PROJECT AUTHORIZATION FORM <br />Service ID:~ <br />Project title: <br />(rocarron and work desciiorron) <br />`~q <br />PROJECT SCOPE: <br />Paving: (wrdrhs) <br />Concrete walks: <br />(iengrh) (width) <br />Wastewater Stormwater <br />Signal <br />1W Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />SID /PB -/GL JC JE (541) 682-5560 <br />Street lights <br />New building construction Planning, other Remodel <br />FUNDIN SOURCES: <br />i <br />City X53 Assessments <br />Fed / State / County / FAA <br />( fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />(Apo 4-p% , R- <br />AeaISLZ t e a u~ 6C- eEgg?M °TP 95r- -S <br />APPROVED: nk, <br />Project Manager Date <br />t _ <br />Principal Engineer Date- 17 <br />Facilities Manager"--, ~ ' ✓ Date <br />City En <br />/ contact / private engineer: t &Nllb S°( lid ,f~ <br />Date 4&k <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No.O % ACK~~~~x <br />GL Title LOU) <br />Assigned by <br />Accounting by <br />ATTACHMENTS: <br />Budget Estimate <br />Date <br />Date <br />❑ 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 Y2004 <br />Private <br />Bike lanes / paths: <br />(width) <br />Setback / Curbside <br />Landscaping <br />ROW required <br />Other department <br />Accountcode - <br />