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; PROJECT AUTHORIZATION FORM <br />~ ~~ ~ <br />~~ - <br />Public Works <br />Maintenance & <br />Parks and Open Space <br />Ciiy of Eugene <br />1820 Roosevelt Boulevard <br />Eugene, Oregon 97402 <br />(541) 682-4800 <br />~ ~ ~j ~ (541) 682-4882 FAX <br />Setvice ID: u SID PB GL JC JE www.eugene-or.gov/parks <br />Project Title: ~ G U~'`-I , D US~ l~IT1t31•) ~N rJ ~ ~J a <br />(location and work description) <br />Project Manager/ContacUPrivate Engineer: ~~ T~~-°~ <br />PROJECT SCOPE: <br />Paving: <br />wi rs <br />Concrete walks: <br />engt <br />Wastewater Stormwater <br />Signal <br />New building construction <br />Bike lanes/paths: <br />wi t <br />Setback/Curbside <br />Landscaping <br />ROW required <br />Remodel <br />FUNDING SOURCES: <br />City~b ~5 ~.t.~~sessments <br />Account Code <br />Fed / State / Count / FAA <br />(%, fixed) <br />;~ COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />~ ._ 2aa b ~S #~ ~ ~ -" ~ ~ b r bC~O <br />.~1')I7~ l~~i~. ~ r 4~ -rlixa ~ r^3 va ~. l~ i tf_ ..... C-r-~ ~r^ -f~l wn r': _ d.J~{-.rl ., / n~ ~ <br />N I l~ ~S ~ <br />APPROVED: ~ ~~ ~~ <br />Project Manager: ' , Date: <br />Section Manager: ~----- Date: ~ ' ~~ • ~7 <br />Financial Analyst: ' ~ - Date: ~~ ~~~G ~ <br />Division Manager: Date: ./ ~'"'~~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~~~ ~J~~ ACK_~~~ ~93~~J ~ .~ ~~~~~~ <br />GL Title ~~1 ~ -~6 ~ ~ ~° ~ ~9 ~ ~D % <br />Assigned <br />Accounting by: <br />Private <br />Other Department <br />Date: ~~ ~~ // <br />Date: <br />~ ATTACHMENTS: <br />^ Budget Estimate <br />^ SDC Budget Worksheet <br />^ City Engineer's Initiating Order <br />^ Request for Scoping Meeting <br />^ Developer Agreement ^ Engineer's Report on Improvement Petition <br />^ Engineering Agreement ^ Engineering Service Work Request <br />^ Public Improvement Permit Application ^ Map <br />Street lights <br />PWM/POS 100 WHITE/Finance YELLOW/PW Administration File PINK/Division File GOLDENROD/Project Manager July 2006 <br />