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~`•~~~, ~~`~ ~ _,.w--~ <br />PROJECT AUTHORIZATION FORM <br />Public Works <br />Maintenance & <br />Parks and Open Space <br />City of Eugene <br />1820 Roosevelt Boulevard <br />~ ~ ~ ~ ~ ~ . ¢ ~ Eugene, Oregon 97402 <br />,~ ~`'~ (541) 682-4800 <br />~ ~ ~ `~,~ ~ (541) 682-4882 FAX <br />SetviCelD: _~-----~°~ SID PB GL JC JE ~~' www.eugene-or.gov/parks <br />Project Title: ~ ~~F1°~ F~`~~.. ~~'~ ~~r~~u~~ s ~:~: ~~ ~8°~~?.. ~ g <br />(location and workdesc~iption) ~ , o~ ~ ~ ~ ~~ ~~ ~..~ ~ ~ ~ ~ ~ ~ g: <br />,~,:~-.»~".....~., ~' ~,,,.r c~3 r ~'~~ ~'~ <br />P ect Manage~Contact/Private Engineer: "~ ~.~'~,~ ` ~ ~~__si ~`~ <br />PROJECT SCOPE: , ~ <br />Paving: Bike lanes/paths: .~~`~ <br />wirs w~r <br />; Concrete walks Setback/Curbside . ` `~ <br />engt wi t <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, Other ~~~~ =~~'° ~~ ~ F~'S'"~"~ 4~~ _>~"~ Remodel <br />FUNDING SOURCES: ' <br />~~ ~ <br />Gity ~~~~!~ ) Assessments Private Other Department <br />~ <br />Account Code ~ ~ ~, t~ v.~ .h~ ~ _.t ~ ~ .~ " ~ ~° ~ ~ ` > f`; `:~~.~ <br />Fed / State / Count / FAA (%, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DES RIPTION: <br />~~- '6~ ~-'v~ .~i~ E:: ~ y ~t~ -~ ~ g 'i -°~ t~~ 6:t1'~~ ~&~`~-~ ~'~ ~ [ ~ ~ ~ ~"Y`1 i ~`~ <br />~ ~ "~"`~-~~ ~i..y~~ 6~...~, ~~f~l4:'"`~S"6.~. ~"~~~~6~'~ a fii r`^~.'2~~a ~"~`~ ~n ~4 `~d ~ ~ .~,:."%~"`~'-4. ~°t.'~a,~`. ..~E~.`s ~ :-. . . <br />~ . .. : ~ ~ ',~ ~ . . . ~ ~ ~ . ~ . . . . . . .. <br />APPROVED: ~""~~~ <br />l~'~ , <br />Project Manager ~ °'~~~ ~ ~'~ Date: ~~ ~ ~~'~~°' ~ <br />Section Manager: ~tl ~ ~~ Date: ~~:" ,~ `Y ~ ~ <br />~. <br />Financial Analyst: ~' ~- , ~ w x ti: j`~ -~` Date 4:~ b~k a `= <br />~ j " (l. . . ~ ~ . . <br />Division Manager: ~"~ g - -~~ ~ Date: ~~ ~° ~ °°~ ~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. _ ~ , ~ ~.~~ ~ ACK ~, .~ ' ~ ~~~~'~a ~ Er, `~"~ <br />~. ~ <br />GL Title ~ ~ -° ~` ~ D . ~~` ~~ ~ t % ,~~ ~ r ~ ~~ <br />, ~ ~ ~~ ~..~ ~ ~ <br />Assigned by: -~ Date: <br />Accounting by: Date: <br />~ <br />.P'~; <br />~~ <br />~ <br />~ <br />~ <br />~ <br />F.em+!~r". <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 />'~ .,~.~:_:__ . N_:._ _ .T:_.:._ <br />~ <br />