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III <br /> PR~JEC~T AUTHORIZATION FORM E"9i"~ri"9 <br /> Public Works <br /> ' City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~ (541)682-5560 <br /> Service ID: SID ~PB - GL JC JE <br /> Project title: ' ` <br /> ~~~~'i~l <br /> I Project manag r /contact / prn~ate engineer. <br /> ' PROJECT COPE: <br /> Paving: ~ hJ ~ 8ike lanes /paths: ~ <br /> Concrete w Iks: Setback /Curbside <br /> I (mil f~nl <br /> Wastewate Stormwater ~F~S Landscaping <br /> <br /> t i <br /> <br /> ` Signat Street lights ROW required <br /> f' I New buildin construction >~~Z- Planning, other Remodel <br /> FUNDING URCES: <br /> City Assessments , ~ Other department <br /> Account code <br /> Fed /State !County !FAA fixed) <br /> ' COMMENTS / PECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> i <br /> APPROVED <br /> Project Ma ger Date ~ ~ Q _ <br /> Principal En ineer Date <br /> Facilities Ma ag Date <br /> City Engine Date 2f - U~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Proj t No. ~~J ACK `t ~J ( <br /> GL Title YY~ ~ 't- ~ <br /> Assign d by Date 2 V <br /> Y Acc:ountin9 Date <br /> ~ ATTACHMENTS: - <br /> ? Budget Estimat ? Developer Agreement ? Engineer's Report On improvement Petition <br /> ? SDC Budget Wprksheet L~Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's nitrating Order ublic Improvement Permit Application ? Map <br /> ? Request for Scc~ping Meeting <br /> <br />