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PROJECT AUTHORIZATION FORM W Public Works <br />Engineering <br />City of Eugene <br />99 E. Broadway, Suite 400 <br />Eugene, Oregon 97401 <br />/ <br />Job <br />(541) 682-5291 <br />Project Title: PM_ n Ina <br />(location and work description) J <br />rontact / Private En <br />ineer: <br />g <br />PROJECT SCOPE: <br />Paving Bike lanes / paths---------- <br />(widths) (width) <br />Concrete walks Setback / Curbside <br /> <br />(length) (width) <br />Wastewater Stormwater Landscaping- <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel_---- <br />Other <br />FUNDING SOURCES: Check ALL applicable funding sources fixed) <br />City _~7,5~ 14-Assessments__----__ Private Bond Other Dept._ <br />Fed__----State County FAA- Grant <br />Account codes <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />ARfROVED: " <br />Project Manager 4l Date LzI7,_24a <br />Principal Engineer Date- I L~2-J6 <br />Other Manager ~`Y---------__ _ Date <br />City Engineer - <br />Date <br />- - - <br />_ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. B ACK 32- 33 2 <br />GL Title - / <br />A <br />i <br />d b <br />D <br />t <br />ss <br />gne <br />y - <br />a <br />e <br />- <br />Accounting by_----- Date_------ <br />SID -VII PB_ZGL JC JEe!~!13;L67 <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 />V <br />