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~ - Public Works <br /> UWVv` Maintenance& <br /> PROJECT AUTHORIZATION FORM Parks and Open Space <br /> City of Eugene <br /> 1820 Roosevelt Boulevard <br /> _ Eugene, Oregon 97402 <br /> ~D (541) 682-4800 <br /> ,,/I , / / (541) 682-4882 FAX <br /> Service ID: ~!1%~H SID t/ PB GL" JC Jl~ www.eugene-or.gov/parks <br /> Project Title: <br /> r~~ena~d <br /> Project Manager/ContacUPrivate Engineer: <br /> PROJECT SCOPE:~~ <br /> Paving: Bike lanes/paths: <br /> Concrete walks: ~ s SetbacWCurbside ~t~ <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, Other Remodel <br /> FUNDING SOURCES: ~-a~roQr;afe ~~SK~ron.. Qg5y5z „ ~^`+a~1~?~y <br /> CitjF~~<S~~J assessments Private them J <br /> Account Code - i{ evi"{- ~ 6 fl+J' <br /> Fed /State /Count /FAA b u~d("y y~%, f <br /> z`ed)p~o~ <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~e.d? ba s' <br /> APPROVED: <br /> Project Manager: Date: L~~~68 <br /> Section Manager: ~r Date: l~ ~ --O~l <br /> Financial Analyst: Date: IT~ D~} <br /> r <br /> Division Manager: Date: L,-'l~ ~~[1 <br /> F{OR USE BY ADMINISTRATION ONLY <br /> Capital Project No. q9 ~J S i Z ~ / ACK ?J ~f,33S Q ~`l {V~ <br /> GL Title 1 ~ ~ ~K/ Y <br /> Assi ed by: te: <br /> Acco olio Date: <br /> <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report on Improvement Petition <br /> C 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/Financa YELLOW/PW Administration File PINK/Division File GOLDENRODlProject Manager July 2006 <br /> <br />