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r i <br />Public Works <br />PROJECT AUTHORIZATION FORM <br />Engineering <br />cft~ <br />Job <br />City of Eugene <br />99 E. Broadway, Suite 400 <br />Eugene, Oregon 97401 <br />(541) 682-5291 <br />a <br />Project Title: RPF - ca~ 5+rtg Q® _ <br />(location and ork description) <br />rojeF~ c 7anger / ontact /Private Engineer: c c' ! V? <br />PROJECT SCOPE: <br />Paving <br />(widths) <br />Concrete walks <br /> <br />Wastewater <br />(length) <br />Stormwater <br />(width) <br />Signal Street lights _ <br />New building construction Planning, other <br />Other <br />Bike lanes / paths-_- <br />(width) <br />Setback / Curbside <br />Landscaping-- <br />ROW required - - <br />Remodel <br />FUNDING SOURCES: Check ALL applicable funding sources fixed) <br />City P-Assessments Private Bond Other Dept._-----_ <br />Fed_ ---State County FAA_ Grant <br />Accountcodes <br />APPROVED: <br />Project Manager- <br />Principal Engineer <br />Other Manager <br />City Engineer, 2~ <br />Date- <br />Date ID <br />Date <br /> <br />Date_ <br />Capital I <br />GL Title <br />Assigned <br />Accounting by_- v <br />SID V- PB-" GL _ <br />JC / JE_'OLD <br />Date- - - - <br />ATTACHMENTS: <br />ArD <br />roject 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 />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />/ FOR USE BY ADMINISTRATION ONLY <br />