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PROJECT AUTHORIZATION FORM Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />Service ID: 40S1D~PB -Z GL / JC A/ JE (541) 682-5560 <br /> <br />Project title: ID C-P WM 011U 6 WA fN S4,Q 14 $ <br />(/owtion and wodr dsscnp von) / contact / private engineer: _ y t ETA S <br />PROJECT SCOPE: <br />Paving: (Wolths) Bike lanes/ paths: <br />(~d~1 <br />Concrete walks: <br />(/en <br />Wastewater 1®® d.. Stormwater <br />Signal <br />Street lights <br />(widra) <br />Setback / Curbside <br />Landscaping <br />ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />City 5,32 Assessments Private <br />Aae V~ <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PRC <br />APPROVED: <br />Project Manager_ <br />Principal Engineer <br />Facilities Manager <br />City Engineer', <br />INFO. / <br />Other department <br />Account code <br />( fixed) <br />Dateb L <br />Date X319 <br />Date <br />Date <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. Q - rxT 14 -5 ACK 63 2 - R 33 z' ®°161-Z-31clC 905146'" <br />GL Title <br />Assigned by <br />Date '°3/ _Z1 J <br />Accounting by Date <br />AFACHMENTS: <br />Budget Estimate ❑ Developer Agreement ❑ Engineer's Report On Improvement Petition <br />❑ SDC Budget Worksheet ❑ Engineering Agreement ❑ ngineering Service Work Request <br />❑ City Engineer's Initiating Order ❑ Public Improvement Permit Application Map <br />❑ Request for Scoping Meeting <br />ENO 415 WHITE ! Finance YELLOW/ Administration File PINK/ Engineering File GOLDENROD/ Project Manager ✓ULY2004 <br />ALI <br />