Public Works <br /> Maintenance & <br /> PROJECT AUTHORIZATION FORM Parks and Open Space <br /> City of Eugene <br /> ~.y 1820 Roosevelt Boulevard <br /> ? Eugene, Oregon 97402 <br /> _ , / (541) 682-4800 <br /> ,d 1 / V ~ (541) 682-4882 FAX <br /> Service ID: SID V ,PB GL JC JE www.eugene-or.gov/parks <br /> Project Title: ~ t <br /> (location and work description) y <br /> y. <br /> Project Manager/Contact/Private Engineer: ~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes/paths: <br /> Concrete walks: wt t s Setback/Curbside wt r <br /> engt wi t <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, Other Remodel <br /> FUNDING SOURCES: y ~ x ~ C~ 9 <br /> City ;t'~ ~ Assessments Private Other Department <br /> Account Code _ ty5 d 1"Z <br /> Fed /State /Count /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ ~ .,~-'1_.r <br /> APPROVED: a F <br /> Project Manager: ~ Date: <br /> Section Manager: Date: <br /> Financial Analyst: Date: ,j <br /> Division Manager: Date: ~"r <br /> ~~C FOR USE BY ADMINISTRATION ONLY 1~ <br /> Capital Project No. ~ ~ ACK ~ IC~°~ ~ <br /> GL Title <br /> Assi ne ~ <br /> 9 Y~ _ Date: ~ <br /> Accounts b Date: <br /> ATTACHMENTS: <br /> ..Budget Estimate ? Developer Agreement ? Engineer's Report on Improvement Petition <br /> <br /> •'~(jj SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application tap <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 />