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S~' r ` Public Works <br /> Maintenance 8~ <br /> PROJECT AUTHORIZATION FORM Parks and Open Spage <br /> City of Eugene <br /> 1820 Roosevelt Boulev rd <br /> f ~ v ~ a ~ Eugene, Oregon 9740 <br /> (541 j 682-4800 <br /> (541 ~ 682-4882 FAX <br /> Service ID: SID PB GL JC JE ~ v?ww.eugene-or.gov/pa ks <br /> Project Title: , y ~ , * v., , r . 'i- t ~ c'. <br /> Qocetion and wont descnhtlon) ~4., , <br /> Project Manager/ContacUPrivate Engineer: ~ 1- `~'t_ i-~. <br /> PROJECT SCOPE: <br /> Paving: ~ s Bike lanes/paths: ~ <br /> Concrete walks: Setback/Curbside <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, Other ~ ~ ,j ~ Remodel <br /> FUNDING SOURCES: <br /> City ~~M~ Assessments Private Other Department <br /> Account Code ~ <br /> Fed /State /Count /FAA fixe ) <br /> <br /> ~'"~COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> L _ ~ c F <br /> L~ <br /> APPROVED: <br /> ' / <br /> Project Manager: ~ ' Date: ~J ~ `°~~i r' <br /> Section Manager: ~ ~ Date: ~ a <br /> Financial Analyst: Date: ~ (3 ~ ~ <br /> p L, <br /> Division Manager: Date: ~ ^ ~O ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ~S ~e~ <br /> ~ ACK <br /> GL Title ~ ~ 1..~` r ~ Y t ~ <br /> Assigned by: Date: <br /> Accounting ~by: Date: <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 /> <br />