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S~~ <br /> Public Works <br /> Maintenance & <br /> PROJECT AUTHORIZATION FORM Parks and Open Space <br /> City of Eugene <br /> 1820 Roosevelt Boulevard <br /> Eugene, Oregon 97402 <br /> / / / / ~ ~ (541) 682-4800 <br /> ? .v/ (541) 682-4882 FAX <br /> Service ID: ~ SID PB GL JC JE viww.eugene-or.gov/parks <br /> Project Title: _~'I p )~t7 i S r^~c./T"~ % ~ <br /> (lacalian anC work tlescrlption) <br /> Project Manager/Contact/Private Engineer: X <br /> PROJECT SCOPE: <br /> Paving: w s Bike lanes/paths: ~ <br /> Concrete walks: SetbacWCurbside <br /> e <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, Other Remodel <br /> FUNDING SOURCE ~ ~ ~G . ~ - 43~ ~ fi'~ ` ^ PI'S SYSz <br /> City Assessments Private Other Department <br /> <br /> Account Cade <br /> Fed /State /Count /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> C <br /> s s ~ <br /> APPROVED: ~ <br /> Project Manager: Date: <br /> Y <br /> Section Manager. ~ Date: - ,~~Qj <br /> Financial Analyst: Date: /2/L~Q~1 v <br /> Division Manager: Date: !L 3^O 4`/J <br /> R USEpB/~Y ADMINISTRATION ONLY Q <br /> Capital Project No. _1"1S ~Z ACK ~~a ~ r~~ I .U <br /> GL Title ~ <br /> Assigns by: Date: 7 Z- S <br /> Accou ing Date: <br /> ACHMENTS: <br /> udget Estimate ? Developer Agreement ? Engineer's Report on Improvement Petition <br /> SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? ity 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 />