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~~ <br />"I <br />Public Works <br />Maintenance & <br />PROJECT AUTHORIZATION FORM Parks and Open Space <br />City of Eugene <br />1820 Roosevelt Boulevard <br />1/)~~3 Eugene, Oregon 97402 <br />VV (541) 682-4800 <br />. / ' / ~ ~ (541) 682-4882 FAX <br />Service ID: SID / PB ~ GL / JC JE ~ www.eugene-or.gov/parks <br />Project Title: ~1 P~'~'~Q11~~ ~ ~~~ yuS ~L~S ~~u~`tjr1. <br />(location and xroik descnptan) <br />Engineer: Er f L <br />PROJECT SCOPE: <br />Paving: <br />wr s <br />Concrete walks: <br />en <br />Wastewater <br />` Signal <br />New building construction <br />FUNDING SOURCES: <br />City Assessments Private Other Department <br />Account Code~5`~1- q 3~~ <br />Fed State !Count /FAA 1 !) ~ ~ ~ (%, fixed) <br />.COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br />T_.,nl/~,,,i_-~ ~-,~~a~J.,..(' Jam.../c ri.j,.~,iC;._ ....~ .nri~.~~-.~~~ L~~> <br />Stormwater <br />Street lights <br />Planning, Other ~(t-~ I~~ n~ $ Remodel <br />Bike lanes/paths: <br />Setback/Curbside <br />Landscaping <br />ROW required <br />APPROVED: <br />Project Manager: ~~ ~ Date: b ~ a'~ ' j~ {° <br />Section Manager: ~ Date: ~ ~~~'~ <br />Financial Analyst: Date: ~ ~ D ~O In <br />Division Manager: ~- Date: ~=~~-l/T~_ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~ ~'S ~ $ ~ ACK 53 ~ Q ~Jr (OX~-aCtC ~ ~ 51 ~ ~- <br />GL Title <br />Assigned by: <br />- ~Zr~ <br />-1 bYl <br />Date: ~ /g /~~ <br />Accounting by: Date: <br />~1TACHMENTS: <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 />0 <br />r <br />v <br />J <br />.~ <br />~~ <br />~v <br />