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r jPROJECT AUTHORIZATION FORM Public Works <br />Engineering <br />City of Eugene <br />99 E. Broadway, suite 400 <br />Eugene, Oregon 97401 <br />Job _ <br />- r---- ~ ~ (541) 682-5291 <br />Project Title: L <br />(location and work description) - <br />Project Manager / Contact / Private Engineer: <br />PROJECT SCOPE: <br />Paving <br />Concrete walks---_ <br />(length) <br />Wastewater <br />Signal <br />New building construction <br />Other <br />(widths) <br />Stormwater <br />Street lights <br />Planning, other <br />(width) <br />Bike lanes / paths <br />Setback / Curbside (width) <br /> <br />Landscaping---- <br />ROW required <br />Remodel <br />FUNDING, SOURCES: Check ALL applicable funding sources fixed) <br />City <br />I ---Assessments Private Bond Other Dept._--- <br />Fed-State County FAA_-_ Grant <br />Account codes <br />COMNTS / SPECIAL PROJ9CT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />C <br />APPROVED: <br />Project Manager- - ,9 Date- u <br />Principal Engineer _ y~------ - Date^ <br />Other Manager Date <br />City Engineer - - <br />L2== <br />/ FOR USE BY ADMINISTRATION ONLY Q <br />Capital Project No. - ACK <br />GL Title )sef ~onk r 5 - - <br />Assigned by Date - - <br />Accounting by Date_ _ <br />SID PB ~ GL JC JE <br />-ATTACHMENTS: <br />4 roject Budget Summary ❑ 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 or Drawing <br />❑ Request for Scopmg Meeting <br />WHITE/Finance YELLOW /Administration File PINK/ Engineering File GOLDENROD /Project Manager April 2010 <br />