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4 <br />Public Works <br />PROJECT AUTHORIZATION FORM <br />Engineering <br />City of Eugene <br />99 E. Broadway, suite 400 <br />Eugene, Oregon 97401 <br />Job - - (541) 682-5291 <br />Project Title: <br />(location a dA rk description) ) <br />J C{=U~~ S 1 l_ ttve In"c~(=~11tG I fY~ n la- 1,_~ t <br />8 <br />Project Manager /Contact /Private Engineer: <br />PROJECT SCOPE: <br />Paving Bike lanes / paths -Vo qK__ <br />C4-aS (widths) (width) <br />Eiir~te walks. So k - _ Setback / Curbside_ - <br />(length) (width) <br />Wastewat r Stormwater Landscaping- <br />Street lights - ROW required <br />`ft building construction Jt 120 i` I'~ - Planning, other Remodel_-- <br />Other f7! G~,:_~~ <br />FUNDING SOURCES: Check ALL applicable funding sources fixed) <br />City— _Assessments Private Bond Other Dept._--- <br />FedS-k-State County FAA- Grant - <br />Account codes <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />no k)A <br />Vie- ac~kY\a a -Ce- mod <br />APPROVED: <br />Project L _ Date-7A~ <br />Manager - z <br />Principal Engineer Date-~J~~ 2 _ <br />Other Manager -z- Date <br />City Engineer- Date---7 ? ~ - <br />FOR USE BY ADMINISTRATION ONLY <br />- <br />Capital Project No. f, ACK ,34±-qJ3Z-- (E X~C - -9/51.3-4 <br />GL Title <br />Assigned - . - ---_w <br />Accountin by/ / <br />SID PB ✓Gl- JC t JE (I,, fill ?)u¢ <br />ATTACHMENTS: <br />Project Budget Summary ❑ Developer Agreement <br />❑SDC Budget Worksheet ❑ Engineering Agreement <br />❑ City Engineer's Initiating Order ❑ Public Improvement Permit Application <br />❑ Request for Scoping Meeting <br />Date <br />❑ Engineer's Report On Improvement Petition <br />❑ Engineering Service Work Request <br />Aildap or Drawing <br />WHITE/Finance YELLOW /Administration File PINK/ Engineering File GOLDENROD/ Project Manager April 2010 <br />