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• <br />PflOJECT AUTHORIZATION FORM <br />Engineering <br />Public Works <br />Service ID: <br />Project title: I:~4 l 4-& t 1 Y\'L <br />/1oce110 snd work a scnplion) <br />Project manager / contact / private engineer: <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: <br />(/englh) <br />Wastewater <br />Sianal <br />SID- PB GL _ JC JE <br />\Aur/ZA,K~~n <br />New building construction <br />FUNDING S URCES: <br />City Assessments <br />11 1 <br />Fed / State / County / FAA <br />( fixed) <br />APPROVED: <br />~.Pr_ , oject J~dQHa~~ <br />?ra <br />_n Lna4w <br />/OVgtel <br />Date <br />Date <br />__~C~ - <br />Date <br />Date ~r <br />14, <br />Capital Project No. <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 />Bike lanes / paths:. <br />Setback / Curbside <br />Landscaping <br />ROW required <br />Remodel <br />dar <br />/widlhl <br />Stormwater <br />Street lights <br />Planning, other <br />Private <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />(541) 682-5560 <br />(width) <br />Other department <br />Account code _ <br />FOR USE BY ADMINISTRATION ONLY <br />ACK <br />ENG 415 WHITE/Finance YELLOW/ Administration File PINK/ Engineering File GOLDENROD/ Project Manager ✓UL K2004 <br />:OMMENTS / PECI L PROJ CT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />