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Public Works <br /> Maintenance & <br />PROJECT AUTHORIZATION FORM Parks and Open Space <br /> City of Eugene <br /> / 1820 Roosevelt Boulevard <br /> - <br />/ Eugene, Oregon 97402 <br /> <br />Q b O ~ ;/ <br />~ <br />~ 1/ <br />~ <br />/ ~ ~ ^ <br />I~// q VI , (541) 682-4800 <br />(541) 682-4882 FAX <br />SID PB <br />Service ID: l GL JC JE www.eugene-or.gov/parks <br />Project-Title: W~"~"l~~dlS '"~' ~~-M ~ ~~ _ <br />} (ZDGV~~M~N ~ <br />(location and work description) <br />rivate Engineer: ~~~ ~ 1~~--0 ~ <br />PROJECT SCOPE: <br />Paving: <br />w~ s <br />Concrete walks: <br />engt <br />Wastewater Stormwater <br />Signal Street lights _ <br />New building construction Planning, Other <br />Bike lanes/paths: <br />wi t <br />Setback/Curbside <br />Landscaping <br />ROW required <br />Remodel <br />FUNDING SOURCES: <br />City Assessments Private Other Department <br />Account Code 1-9335 u" 3`~ ' <br />~/ State /Count /FAA I ~O ~° (%, fixed) <br />COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br />S ~'D 2c.1 ,- S `~ ~~`a c ~ ¢-s~ S ~ a-~S o ~i a~~ W ~ 1 "~ <br />C,o v~`t'~~ ~* z-. o~ -- 0 54 0 2- t,v ~ ~- a ~ M lJ~~ ems- t~'1'r5 ~-d~l~ ~1 <br />tie ~ ~ '. l ~o ~~,~~ I A ~ a gals ~~,- ~- ~ l~M ~--td <br />dt amt Sex~.s a-~li s Isms vri g L,M i a-.,~s, <br />APPROVED: <br />j <br />~ ` 3 D ` <br />g <br />Project Manager: <br />~ Date: <br />~ <br />~ ~`~y ` <br />Section Manager: <br />~ <br />l Date: <br />Date: ~/ <br />~~ <br />Financial Ana <br />yst: . <br />Division Manager: ~° Date: ~- <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~~S~--i `'l2 ACK ~~~ ~~~5 ~1~,k~GL ~a~ ~[ u <br />G L Title ~ ~ ~ ~'~ ~ Irt~ f~-r <br />Assigned Date: ~ ~ l Q <br />Accounti b : 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 />'~.s <br />'U <br />