PROJECT AUTHORIZATION FORM <br />Public Works <br />~ '' Maintenance & <br />'' Parks and Open Space <br />Service ID: ~~~ SID PB ~ GL V JC v JE ~ <br />. ~ ~ <br />Project <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 />(loc5tion and work description) <br />Project Manager/Contact/Private Engineer: lls T1 ~ <br />PROJECT SCOPE: <br />Paving: <br />w~rs <br />Concrete walks: <br />engt wi t <br />Wastewater Stormwater <br />Signal Street lights _ <br />New building construction ~Rlauw~ng ther <br />Bike lanes/paths: <br />w~ t <br />SetbacWCurbside <br />Landscaping <br />ROW required <br />Remodel <br />FUNDING SOURCES: <br />City 1'8s ~1~.~ Assessments Private Other Department <br />Account Code <br />Fed / State•/ Count / FAA (%, fixed) <br />~ `,COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />'_~(o ~ ~~-t~ ° ~ 5 P°v <br />~ -a~ ~ ~~-~~~ ~. ~~~ ~e ~ ~ 0 0,~ ~.~~ ~ ~.~ ~"a ~~'-~ ~ <br />~-~-- ~"~ g°~"a • ~s `~ a~~'~Rfl 9 S ~ '~ ~ ~~ <br />~. ~- <br />APPROVED: <br /> <br />Pro <br />ect M <br />n <br />l / <br />~!L(Ol~~ <br />D <br />j <br />a <br />ag . ate: <br />• <br />Section Manager: Date: ~ ' ~ ' D <br />Financial Analyst: ~"' n ! Date: ~ `~ ~"~ ~- <br />` <br />Division Manager: .~° <br />"~ Date: ~ "~ ~""'~ ^7 <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. Q~5 5//~ ACK <br />GL Title ~L55 ~9 „ ~~ ~j ~ ~(w,r ~r~ '~= ( d, ~I It ~ <br />Assigned by: Date: <br />Accounting by: Date: <br />~ . _ 'ATTACHMENTS: <br />^ Budget Estimate <br />^ SDC Budget Worksheet <br />^ City Engineer's Initiating Order <br />^ Request for Scoping Meeting <br />PWM/POS 100 WHITE1Finance <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 />