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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 (541) 682-5291 <br />Project Title: s~r_3 RA d A-~c;fW ~u-) 1e2 <br />(locatl and work description) <br />.~tadruw~ <br />Project Manager / Contact / Private Engineer: K F PROJECT SCOPE: <br />Paving _ e rcipal ( = Bike lanes /paths-- <br />(idths (width) <br />Concrete walks-'_ Setback / Curbside, <br />(length) (width) Gf <br />Wastewater _2~_ 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- -Assessments-- Private Bond Other Dept. <br />Fed__ --State County FAA_____-- Grant <br />Account codes <br />COMMENf_TS_ / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK <br />~ 1'Y1,t~V2 iG'i~~ 1 t 1~fG~1S ~C ~ S~V'~°✓' <br />APPROVED: <br />Project Manager Date f/i Zon _ <br />Principal Engineer Date (~.C11 ( <br />Other Manager Date <br />City Engineer Date- / ~ f/ <br />r / FOR USE BY ADMINISTRATION ONLY <br />WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager April 2010 <br />