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Public Works <br />PROJECT AUTHORIZATION FORM Engineering <br />Job #: 4 ` 4 <br />City of Eugene <br />99 E. Broadway, Suite 400 <br />Eugene, Oregon 97401 <br />(541) 682 -5291 <br />Project Title: M -P 1 <br />(location and work description) <br />Project Manager / Contact / Private Engineer: �) 00 Q 6k N C" UR x Btot <br />PROJECT SCOPE: <br />Paving <br />Concrete walks <br />(length) <br />Wastewater <br />Signal <br />(widths) <br />(width) <br />Stormwater X _ Landscaping <br />Street lights <br />New building construction Planning, other _ <br />Other n93 el LW M (Nt\ <br />Bike lanes / paths <br />(width) <br />Setback / Curbside <br />ROW required <br />Remodel <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 5 3 � 5 1 5 2-2. <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />P R,C. 3 ° E- LT T(3 0 C- Ca <br />4 <br />APPROVED: <br />Project Manager. <br />Date b t , 1 <br />Principal Engineer L <br />Date <br />Other Manager de <br />Date <br />City Engineer <br />,, <br />Date 2/-f <br />c� y 1 FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. _ 3 4® l� 0 ACK 531 <br />GL Title <br />Assigned by <br />Accounting by <br />SID V" <br />JC <br />Date <br />ATTACHMENTS: <br />1XProject 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 J5Q Map or Drawing <br />❑ Request for Scoping Meeting <br />WHITE/Finance YELLOW /Administration File PINK/ Engineering File GOLDENROD/ Project Manager April 2010 <br />