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.F <br />PROJECT AUTHORIZATION FORM Public Works <br />Engineering <br />City of Eugene <br />99 E. Broadway, Suite 400 <br />Job / 11 Eugene, Oregon 97401 <br />(541) 682-5291 <br />Project Title: ~ D ~n~ 1~/ ~ Ll1- 1/ r v <br />(locopn and work description) Z 6 , <br />Project Manager Contact/ Private Engineer: U 1~ ( <br />PROJECT SCOPE: <br />Paving - Bike ne paths <br />(widths) (width) <br />Concrete walks Setback /Cur side <br />(length) <br />(width) <br />Wastewater Stormwater Landscaping-------- _ <br />Signal Street lights - - ROW required <br />New building construction Planning, other <br />Other <br />FUNDING SOURCES: Check ALL applicable funding sources fixed) <br />i <br />City-_---Assessments Private Bon _3 /v/, Other Dept. <br /> <br />Fed_-----State <br />County FAA_- Grant <br />Accountcodes <br />COMMENTS / SPECI/11L <br />APPROVED: <br />Project Manager <br />Principal Engineer <br />Other Manager <br />City Engineer <br />ECT INFO. / I <br />CST jn TAL WORK DESCRIPTION: <br />r- 7 a Al <br />d, <br />Date 1' G : LQ <br />Date <br />Date~f~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~~Z. - ACK <br />GL Title}_ <br />Assigned by Date_ CD Accoun ' g by Date _ _ <br />SID PB~_ GL J_ J~JE_/ <br />ATTACHMENTS: <br />Xroject 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 Scoping Meeting <br />WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager April 2010 <br />