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';" ~.; <br />~...r <br />• PROJECT AUTHORIZATION FORM <br />Public Works <br />_ Maintenance & <br />Parks and Open S ace <br />P <br />City of Eugene <br />1820 Roosevelt Boulevard <br />C ^~~/~ I ~ Eugene, Oregon 97402 <br />(~~(J~J ~ (541) 682-4800 <br />• / (541) 682-4882 FAX <br />Service ID: ~~ SID V PB GL J~Ca JE www.eugene-or.gov/parks <br />Project Title: V1! ~'~~n01~ _" ~~M Q`~'1 /..C- ~~ oZ-dd ~' <br />(bcation and work description) <br />,ger ontact/Private Engineer. <br />f}C- <br />PROJECT SCOPE: <br />Paving: <br />s <br />Concrete walks: <br />Wastewater Stormwater <br />FUNDING SOURCES: <br />City <br />Assessments <br />Bike lanes/paths: <br />Setback/Curbside <br />Landscaping <br />-ROW required _ <br />Remodel <br />~n <br />Private Other Department <br />Account Code 'h a~ <br />Fed State /Count /FAA ~~ <br />COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL <br />~~~ rr~itc~ /~; l) ctca~:/'.L nay{-t`Vt~~ <br />(%, fixed) <br />APPROVED: / <br />Project Manager: f Date: '~ ~ <br />Section Manager. _ Date: <br />Financial Analyst: Date: ~2d~r7f., <br />Division Manager: f" Date: ~l''~/ qtr <br />Signal <br />New building construction <br />1FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~ ~ 5 F ~~ ~ ACK r/"r7~ ~~'1'~S ~ XXOC\C ~ ~5 }~D Z' - <br />GL Title ~+ v~~~S ~~J~' ~G~t\V`C,. ~C~ ~~ t <br />A~1~~ I ~ - - Date: ~~~1~`D <br />Assigned b,,. ~~~ <br />Accounting by: <br />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 />Street lights _ <br />Planning, Other <br />0 <br />i <br />N <br />I <br />O <br />U <br />n <br />0 <br />~. <br />N <br />z <br />