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PROJEC AUTHORIZATION FORM ~bilcwons <br /> • Cfty of Eugene <br /> r 244 E. Broadway <br /> v/ ~ Eugene, OR 97401 <br /> ~ c5a,> sae-ssso <br /> Service ID: SID~PB . GL JC ~ JE . <br /> Projeoi tide: t f•©l~.~ <br /> ~ <br /> Project mono er /contact /private engineer. <br /> PROJEC SCOPE: I <br /> Paving: ~ / Bike lanes /paths: (»~I <br /> Concret walks: Setback / Curbside ~~-1~ <br /> n~anl 1 6 <br /> Wastew ter ~ Starmwater Landscaping <br /> Signal Street lights ROW required <br /> New bu ding constn~ction Planning, other Remodel <br /> FUNDINIQ SOURCES: <br /> City Assessments ~ Other department <br /> Account code <br /> Fed / to 1 County /FAA (°,6 fixed) <br /> ' COMME S /SPECIAL PROJECT INFO. !INTERDEPARTMENTAL WORK DESCRIPTION; 1 <br /> - ~-r' C ~n .u-rn~ ~'tv-~-- <br /> ~ <br /> . c~_`- t <br /> APP OVED: ~ ~ ~ d$ <br /> Proj Manager Date <br /> Pri ipal Engi r <br /> Foci hies Manager Date <br /> City engnneer Date <br /> Date / y£+,' <br /> FOR USE BY ADMINISTRATION ONLY <br /> I' ~~YY77[' Jf ' l <br /> Ca~ifal Project No. ~~__L__~t~~ ACK <br /> GL ills In C~~S i h <br /> . V 1 l0 <br /> <br /> + ed by V 4 <br /> Date <br /> Ac oun rng by <br /> Date <br /> ATTAINMENTS; , <br /> ? Bu et Estimate ? Developer Agreement <br /> ? SD Budget Worksheet ? Engineer's Report On Improvement Petition <br /> l~(Engineering Agreement <br /> ? City Engineer's Initiating Order [j Public Improvement Permit D Engrn~n <br /> ? Req~rest for Sc Application ? Ma ~ Servtce Work Request <br /> II oping Meeting p <br /> i <br /> . ~ j <br /> i C~~ ~ <br /> <br />