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Public Works <br />PROJECT AUTHORIZATION FORM <br />Engineering <br />Job <br />City of Eugene <br />99 E. Broadway, Suite 400 <br />Eugene, Oregon 97401 <br />(541) 682-5291 <br />Project Title: _ 12FRd " %&4 Mrl"' <br />(location and work description) <br />Project Manager/ Contaet4- lrivate-EE-T M'g-er: , 7 <br />PROJECT SCOPE: <br />Paving <br />Concrete walks-------- <br />(length) <br />Wastewater <br />Signal <br />r <br />Bike lanes I paths-_._-A <br />(width) <br />Setback / Curbside _ <br />Landscaping- it! 10 <br />ROW required <br />Remodel <br />New building construction Planning, other <br />Other <br />FUNDING S ROES: Check ALL applicable funding sources fixed) <br />City-- -2- Assessments---- Private Bond Other Dept._ <br />Fed-, Y~ State County _ FAA- Grant <br />Account codes <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />AA1 C T`eJXJJ ` `T7_C eo r G>c a ~ e,f <br />&l~r X1-50 6k';% -e i llf~Al IA16' <br />APPROVED: <br />Project Manager <br />Principal Engine( <br />Other Manager _ <br />City Engineer, <br />Date <br />Date 4 A (Pi l0 <br />Date- <br />Date j>f FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. <br />GL Title_i~1C <br />Assigned by-- <br />Accounting by <br />z ACK 333 `9332 - tp xxxX- 0s6'g2_ _ <br />(widths) <br />(width) <br />Stormwater <br />Street lights <br />Date <br />Date _ <br />SID V"' P13-Z GL JC V' JE IQ~ 56 <br />AT ACHMENTS: <br />Project Budget Summary ❑ Developer Agreement ❑ Engineer's Report On Improvement Petition <br />❑ SDC Budget Worksheet ❑ Engineering Agreement ❑ Eggineering Service Work Request <br />WHITE/Finance YELLOW /Administration File PINK/ Engineering File GOLDENROD / Project Manager April 2010 <br />❑ City Engineer's Initiating Order ❑ Public Improvement Permit Application 4 ap or Drawing <br />❑ Request for Scoping Meeting <br />