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V L ~ <br />, PROJECT AUTHORIZATION FORM <br />~ %'~>r y f ~' <br />~~ <br />~ ~ ~~'~~ ,~^~" ~rs ~ <br />~~~ ~iN.'y `r~ ~ ll' r',,. <br />_r-^,~ :G? ~ <br />'; ,~ z ~i'. y ae-~,.~ ,``,c <br />' ~,~ ~"-~~ t ~" . <br />~~a~~ a~ r <br />r <br />Public Works ~~~ y ~~ ~ ~ -~~~ <br />' ;' ~ l"7i~~rtrr~~~. <br />Maintenance & °~~ ~ ~w ~~,;3~ <br />~ ~ ~ r~ ~~ ~; <br />Parks and Open ~~ ' ~..~` ~ ~s' <br />j ~-r~~~ ~ <br />l~ <br />Service ID: . ~ ~ SID _ <br />5 <br />Project Title: ~ ~ ~' 'i , ` ° F _, '~ ~' <br />Qocation and work description) ' . <br />„ ~ . i ;~5 ::~ <br />_..~. ._ .~ . . <br />Drnion+ 11A~r»ner/(~~n+.en+/Dri n+.. C.. <br />PB GL JC _ <br />~~~ q, . . . _. <br />City of Eugene <br />1820 Roosevelt Boulevard <br />~ Eugene, Oregon 97402 <br />, ~ (541) 682-4800 <br />(541) 682-4882 FAX <br />JE ~ www.eugene-or.gov/parks <br />u . , ';~`". <br />. -: ~',..~ ..~, }; +~,t`~ , ~."' <br />'i__.._.~..~~_. __ ........... ......... ~ .y. ...... <br />PROJECT SCOPE: <br />Paving: Bike lanes/paths: <br />Concrete walks: W~ ~ S Setback/Curbside w~ r <br />engt w~ t <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, Other ' ~ ~ ~ ~~~'~° ~~ ! ~ ° ~ ~ ~ "~"''° Remodel <br />FUNDING SOURCES: <br />City '"'` `<<_~ ~ Assessments Private Other Department <br />Account Code ~~~ '" "~.'° '° ~ ~ '~ ~ ~° ~~ ~)~ " ~ <br />Fed / State / Count / FAA (%, fixed) <br />;' COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />_, ~ <br />P~ ~~~ ~ - ~ ~ <br />~ F _ s t, ~~F <br />4~ ~ <br />~ , ~,. ~.~ ~ , . ,, ~, <br />: <br />; ; <br />APPROVED: <br />Project Manager: ~ " ~ " ~ r~ ~ ~ <br />: , a~ ; <br />Section Manager: c ~J <br />Financial Analyst: <br />Division Manager: <br />Date: <br />Date: 6 "'~ ~ `~ ~ <br />Date: ~ ~ ~t~ (t r <br />Date: ~ °" ~ °' ~ ~ <br />FOR USE BY ADMINISTRATION ONLY <br />q ~i ...~~ , , ~ <br />Capital Project No. -~` ~ ~ (~~~~r~~- ACK <br />t (~,~ . ~ <br />GL Title ~ ~~ ~ ° ~" '~ F~11~i,; ~ t ~ <br />~ <br />Assigned by: _ . ~ ~ Date: <br />~ Accounting by: <br />ATTACHMENTS: <br />^ Budget Estimate <br />^ SDC Budget Worksheet <br />^ City Engineer's Initiating Order <br />^ Request for Scoping Meeting <br />PWM/POS 100 WHITE/Finance <br />Date: <br />^ Developer Agreement ^ Engineer's Report on Improvement Petition <br />^ Engineering Agreement ^ Engineering Service Work Request <br />^ Public Improvement Permit Application ^ Map <br />YELLOW/PW Administration File PINK/Division File GOLDENROD/Project Manager July 2006 <br />~ <br />,~... <br />~ <br />~ <br />~ <br />~ <br />