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Public Works <br />PROJECT AUTHORIZATION FORM <br />Engineering <br />City of Eugene <br />99 E. Broadway, Suite 400 <br />Eugene, Oregon 97401 <br />Job _ L (541) 682-5291 <br />Project Title: c:20Ia PAM PIAM0111A <br />(location and work description) <br />Project Manager Contact / Private Engineer: P41d ~ ))-f ite P- - <br />PROJECT SCOPE: <br />Paving (widths) dths) Bike lanes / paths-_ _ <br />(width) <br />Concrete walks Setback / Curbside <br />(length) (width) <br />Wastewater Stormwater Landscaping-- <br />Signal Street lights ROW required New building construction Planning, other - Remodel <br />Other <br />FUNDING SOUR ES: Check ALL applicable funding sources fixed) <br />9os~oq` City___-- Assessments__---__ Private <br />Fed__----State County <br />Account codes <br />Bond Other Dept. <br />FAA Grant <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />APBRQVED: <br />Project Manager-- <br />D6te- <br />iZI V 1 10 <br />Principal Engineer <br />Date- <br />IZ6 <br />Other Manager_ _ <br />Date <br />City Engineer a~r"`yr_ <br />Date_ <br />, , , <br />~ y <br /> <br />ATTACHMENTS: <br />)(Project 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 />