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PROJECT AUTHORIZATION FORM 10 Public Works <br />Engineering <br />City of Eugene <br />99 E. Broadway, Suite 400 <br />L6 7 - - Eugene, Oregon 97401 <br />Job - ~ (541) 682-5291 <br />-J f;2 l <br />Project Title: PPP ~ I' ~ <br />(location and work description) ~J <br />ro'ect Manage /Contact /Private Engineer.tt ~'I e` - <br />PROJECT SCOPE: <br />Paving Bike lanes / paths-_ <br />Concrete walks _ - - Setback / Curbside- <br />(length) (width) - <br />Wastewater Stormwater - Landscaping <br />Signal Street lights ROW required <br />New building construction - - Planning, other Remodel_---- <br />Other <br />FUNDI G OURCES: Check ALL applicable funding sources fixed) <br />City-- -Assessments- Private Bond Other Dept._ _ <br />Fed_, State County FAA`- Grant - <br />Account codes - <br />APPROVED: t~ r <br />Project Manager- Date <br />Principal Engineer - Date <br />Other Manager( - - - Date <br />City Engineer Date C S <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No 9 65ia 4 ACK qa -D32" (e ?;22 oL- To - <br />21 <br />GL Title -Ri) 6anAna-. <br />e t - c~ta4--- - <br />Assigned by r - - Date STi~ - <br />Accounting by_ - Date__ _ <br />SID -V PB ✓ GL ✓ JC JE <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 0 Public Improvement Permit Application ~1 Map or Drawing <br />❑ Request for Scoping Meeting , e <br />WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager April 2010 <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />