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Public Works <br />PROJECT AUTHORIZATION FORM <br />Engineering <br />Job ---414 I - <br />City of Eugene <br />99 E. Broadway, Suite 400 <br />Eugene, Oregon 97401 <br />(541) 682-5291 <br />Project Title: I R~ <br />(location and work description) <br />/ Contact /Private Engineer: `Jev,' <br />PROJECT SCOPE: <br />Paving <br />Concrete walks---------- <br />(length) <br />Wastewater <br />Signal <br />(widths) <br />(width) <br />Stormwater <br />Street lights <br />Bike lanes / paths-_---- <br />(width) <br />Setback / Curbside <br />Landscaping- <br />ROW required <br />New building construction Planning, other Remodel <br />they Si/_ri~ c•~c~, vi <br />4 <br />FUNDING SOURCES: Check ALL applicable funding sources fixed) <br />Ci fi2V► , . Assessments--- Private Bond <br />Fed__-tState County FAA_ <br />Accountcodes <br />COMMENTS / SPECIAL PROJECT INFO. I INTERDEPARTMENTAL WORK DESCRIPTION: <br />A-5 e-e- <br />APPROVED: 4 <br />- Date ~ <br />Project Manager- <br />Principal Engineer Date <br />Other Manager Date- <br />City Engineer - Date FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. I _ <br />GL Title? e)o <br />Assigned b, <br />Accounting by_ _ _ <br />SID PB-ZGL JC-~ JE <br />Date---- - <br />Date <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 />3q?- ~ Q~ <br />Other Dept. <br />Grant <br />