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6. <br /> ~ . . <br /> <br /> . ~ <br /> PROJEC AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: ~ SID_ PB _ GL _ JC ~ JE _ (541) 682-5560 <br /> Project title: ~ ~ <br /> end »m~fr deecr~aA6w) <br /> i <br /> Project manag /contact /private engineer: 7 Itt~ /"1 <br /> ~ ~ PROJECT COPE: <br /> i ~ ~ ' <br /> Paving- ~ ~ Bike lanes /paths: <br /> c- ( ( <br /> Concrete w Iks: Setback /Curbside <br /> Wastewater g Storrnwater /f~ Z~ Landscaping <br /> Signal Street lights y~ s ROW required <br /> New buildin construction Planning, other Remodel <br /> j FUNDING S URCES: <br /> ~ City Assessments Private ~ Other department <br /> ~ Account code <br /> Fed /State / ounty /FAA fixed) <br /> COMMENTS / ECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> a <br /> i <br /> 'I <br /> 3 ~ <br /> ~ APPROVE <br /> Project Man ger Date ~ ~ ~ <br /> Principal En ineer Date ~ <br /> Facilities Ma agar Date <br /> City Engin Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> ~ Capital Proj t No. ? ~ "i ~`'I ~ ACK ~1 Q~ ~ ~ c1 X~Cr~ ~ r <br /> i GL Title ~ ~ ~ 1 /'l ~ I' ~S <br /> ~ ~ / d <br /> ~ ~ Assignedby Date . <br /> Accounting Date <br /> I <br /> i <br /> ATTACHMENT : <br /> ? Budget Estim to ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget orksheet 8"Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer' Initiating Order ~PUbI1C Improvement Permit Application ? Map <br /> D Request for oping Meeting <br /> er yOlYZDert,.~ <br /> C~ ~~~3 <br /> <br />