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~ ~~- ~--- <br />PROJECT AUTHORIZATION FORM <br />~ <br />Service ID: ~~~~ ~ SID ~B ~+/ GL ~ JC ~/ JE <br />Project Title: ~,~,,_~i1if „'~gC~3hllWl( J-J I~~~'12-!/i ~T~~ <br />(location and work description) <br />Public Works <br />Maintenance & <br />> Parks and Open Space <br />City of Eugene <br />1820 Roosevelt Boulevard <br />Eugene, Oregon 97402 <br />(541) 682-4800 <br />(541) 682-4882 FAX <br />www.eugene-or.gov/pa rks <br />Project Manager/ContacUPrivate Engineer: <br />PROJECT SCOPE: <br />Paving: Bike lanes/paths: <br />Concrete walks: w~ r S Setback/Curbside W~ r <br />engt wi t <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, Other ~T lS~'('j~ Remodel <br />FUNDING SOURCES: <br />City ~Z~~~ Assessments Private Other Department <br />Account Code <br />Fed / State / Count / FAA <br />` COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />_ ~ ~(oa~ ~~ ~~ Lm~b N <br />~32'-!' , 2 ~ 6?I[~~ oz~ ~rt.rnn ~.J ~- /~~,,,,, ,.~ ~ <br />(%, fixed) <br />~osf~~ <br />APPROVED: <br />Project Manager: <br />Section Manager: <br />Financial Analyst: <br />Division Manager: <br />„c~.t--~~--- Date: ~~•'r7 ~ O 7 <br />. <br />Date: ! ~ - "~l • CS 7 <br />~ Date: /~_ ~ 5,07 <br />~ ~ , <br />~--= Date: ~~ ~?~dr ~ _ <br />\_ ATTACHMENTS: <br />^ Budget Estimate ^ Developer Agreement ^ Engineer's Report on Improvement Petition <br />^ SDC Budget Worksheet ^ Engineering Agreement ^ Engineering Service Work Request <br />^ City Engineer's Initiating Order ^ Public Improvement Permit Application ^ Map <br />^ Request for Scoping Meeting <br />PWM/POS 100 WHITE/Finance YELLOW/PW Administration File PINK/Division File GOLDENROD/Project Manager July 2006 <br />