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PROJECT AUTHORIZATION FORM <br />~~' ~ <br />Public Works <br />Maintenance & <br />Parks and Open Space <br />_ <br />City of Eugene <br />1820 Roosevelt Boulevard <br />. °',Eugene, Oregon 97402 <br />/ ~ /l~ e / ~ . r~~ (541) 682-4800 <br />~ ~ ~~ / V ` ~ l+ (541) 682-4882 FAX <br />Setvice ID: SID PB GL JC JE www.eugene-or.gov/parks <br />Project Title: ~'~~j~_~~~ ~ ~~~(~ <br />(location and work desc~iption) ~ <br />Project Manager/Contact/Private Engineer: ~~5 <br />PROJECT SCOPE: <br />Paving: <br />w~ rs <br />Concrete walks: <br />engt <br />Wastewater <br />Signal <br />New building construction <br />Stormwater <br />Street lights <br />Planning, Other _S~~-,~~~' <br />FUNDING SOURCES: <br />City <br />Account Code <br />Fe / St / Count / FAA <br />COM ENTS / SPECIAL <br />Private Other Department <br />INFO. / INTERDEPARTMENTAL INORK D~SCRIPTION: <br />(%, fixed) <br />.3~1 -~1335 - ~~5302. = ~ ~t~,~ <br />APPROVED: .. . <br />Project Manager: Date: ~~' 7'~ 7 <br />Section Manager. ` Date: ~~'~' ~ 7 <br />Financial Analyst: ~ ^ Date: // /S / D 7 <br />Division Manager: Date: ~~~ <br />( <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 />Assessments <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 PINWDivision File GOLDENROD/Project Manager July 2006 <br />