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PROJECT AUTHORIZATION FORM <br />Service ID: 4 9 <br />Project title: <br />Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />(541) 682-5560 <br />SID PB GL JC JE <br />Project manager / contact / private engineer: <br />PROJECT SCOPE: <br />Paving:0~ L o~71 ~15 <br />(widths) <br />Concrete walks: <br />(iengiv (width) <br />Wastewater Stormwater <br />Bike lanes / paths: <br />(width) <br />Setback / Curbside <br />Landscaping <br />Signal Street lights <br />ROW required <br />New building construction Planning, other <br />Remodel <br />FUNDING SOURCES: <br />City X Assessments Private <br />Other department <br />Account code <br />Fed / State / County / FAA <br />fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />6z.:- <br />i ~C e <br />APPROVED: <br />Project Manager <br />Principal Engineer <br />g q <br />Date <br />Date <br />Facilities Manager <br />Date <br />City Engineer <br />Date <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. Ca <br />-Y 4~ ACK 3q3'- 9 3 <br />32' <br />GL Title <br />Assigned by <br />7`z <br />Date <br />Accounting by <br />Date <br />ATTACHMENTS: <br />A Budget Estimate ❑ Developer Agreement ❑ <br />❑ SDC Budget Worksheet ❑ Engineering Agreement ❑ <br />❑ City Engineer's Initiating Order ❑ Public Improvement Permit Application A <br />❑ Request for Scoping Meeting <br />Engineer's Report On Improvement Petition <br />Engineering Service Work Request <br />Map <br />ENG 415 WHITE/Finance YELLOW/ Administration File PINK/ Engineering File GOLDENROD/ Project Manager ✓UL Y2004 <br />