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<br /> . _ <br /> ' PR('JECT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> ~ Eugene, OR 97401 <br /> ^ c-- (541)682-5560 <br /> Service ID: ~O~ SID_ PB _ GL ~ JC~ JE <br /> Project title: r D <br /> flocs ' wnrh desaipriun) I <br /> Project manager /contact /private engineer. r <br /> PROJECT SCOPE: ~ / <br /> Pavin ~ 5~ (>Q r ! ~ Bike lanes /paths: <br /> 9~ /,,rya/ /wam/ <br /> Concrete walks: Setback /Curbside <br /> r~h~ <br /> Sanitary sewer Storm sewer Landscaping <br /> Signs! Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING S URCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMME TS / SPEC~L PROJECT IN~/rl•NT EPARTMENTA WORK DESCR ~ ION: ~ S r ~ S <br /> Ul / <br /> APPROVED: ~ <br /> Project Manager Date ap~L .-r <br /> Principal Engineer Date ~ ~ i <br /> Facilities Manager Date ! <br /> City Engineer Date ~~?l~,`,/ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK ~3~ ~~XXxk <br /> GL Title ~T r ~ ~ 1 ~ ,r7' <br /> U <br /> Assigne y Date <br /> Accounting by - Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petitio~h <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application Map <br /> File Request Form <br /> ' ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 200p <br /> <br />