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e <br />PROJECT AUTHORIZATION FORM Public Works <br />Engineering <br />City of Eugene <br />99 E. Broadway, Suite 400 <br />---/mil y Eugene, Oregon 97401 <br />Job (541)682-5291 <br />Project Title: <br />'LIT -e~- L l 1------- <br />(location and work description) - L-71 <br />Project Manager /Contact !Private Engineer: <br />PROJECT SCOPE: <br />Paving <br />Concrete walks <br />(wfdtns) <br />( (length) <br />Wastewater Stormwater <br />Signal Street lights <br />New building con truction Planning, other <br />Other = <br />FOR USE BY ADMINISTRATION ONLY <br />(width) <br />FUNDING SOURCES: Check ALL applicable funding sources f d) <br />City- -Assessments-,--!_ Private Bond Other Dept.____----__ <br />Fed ----State County FAA----- Grant <br />Account codes <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />APPROVED: <br />Project Manager- - 4-. M_ <br />- Date Fa. 24, Zdi <br />Principal Engineer <br />Other Manager <br />ineer <br /> <br />Cit <br />En <br />Date-- <br />Date <br />: <br /> <br />y <br />g <br />- <br /> <br />Capital Project No.3-7-L <br />GL Title 47D 1-2,0 s~ <br />Assigned y~ c <br />Accountijnby _ <br />SID ✓ PB ~~'GL _ <br />ATTACHMENTS: <br />❑ Project Budget Summary <br />❑ SDC Budget Worksheet <br />❑ City Engineer's Initiating Order <br />❑ Request for Scoping Meeting <br />JC_ -Z'JE A <br />Bike lanes / paths <br />(width) <br />Setback 1 Curbside _If-t~il~ <br />Landscaping- <br />ROW required <br />Remodel_--_-_ _ <br />Date- - <br />❑ Developer Agreement 0>4 I-PQ Engineer's Report On Improvement Petition <br />gYEngineering Agreement ❑ Engineering Service Work Request <br />C Kblic Improvement Permit Application ❑ Map or Drawing <br />WHITE/Finance YELLOW /Administration File PINK/ Engineering File GOLDENROD/ Project Manager April 2010 <br />