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_ Y <br />QNW/ Engineering <br />PROJECT AUTHORIZATION FORM <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />gene, OR 97401 <br />/ Eu <br />~7t~dt) XGL <br />Service ID: SIDY P /C - JE (541) 682 5560 <br />Project title: PPP 2--010 d-o I r°~ R c <br />cation and work dascr/pt' n ' <br />x Gtr,S <br />r15 oject manager contact / private engineer: Q <br />PROJECT SCOPE. <br />Paving: y Bike lanes / paths: <br />( dthsJ (width) <br />Concrete walks: Setback / Curbside <br />(length) (widlhJ <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUNDI OURCES: <br />City Assessments <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO.. <br />Private <br />fixed) <br />APPROVED: <br />Project Manager P <br />Principal Engineer <br />Facilities Manager <br />City EngineerL <br />Other department <br />Account code - <br />Date <br />Date 2-° - cZ <br />Date <br />Date % AA <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~ ACK q 332_ L%MW- 90 5'-0 <br />GL Title <br />Assigned by <br />Accounting by <br />Date <br />Date <br />ATTACHMENTS: <br />6 udget Estimate ❑ Developer Agreement ❑ Engineer's Report On Improvement Petition <br />S1-DC Budget Worksheet ❑ Engineering Agreement ❑ Engineering Service Work Request <br />❑ City Engineer's Initiating Order ❑ Public Improvement Permit Application .Mw C , rl,q <br />❑ Request for Scoping Meeting <br />ENG 415 WHITE/Finance YELLOW/ Administration File PINK/ Engineering File GOLDENROD/ Project Manager ✓ULY2004 <br />