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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 /> Service ID: ~ SID ~ PB ,~f GL JC JE (541) 682-4882 FAX <br /> www.eugene-or.gov/parks <br /> Project Title: -~'~~-~~-V\!'~~ ~ 1~ ~ ~~~nc~(Aa~tG~~L+~'~ ~°~y~.+~yt <br /> (location and work description) <br /> 'r <br /> Project Manager ontacUPrivate Engineer: 1 ~P.;JC'< L l~:ti.-~ I G~~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes/paths: <br /> Concrete walks: wits Setback/Curbside Wt r <br /> engt wi t <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, Other 6(1~. <br /> (,f.V1~ 7)~Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other Department <br /> Account Code ~a 3 ! ' ~ ~ ~ ~ Clv f- C't~~ <br /> ed State /Count /FAA ~ " / ~ ~ fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~VtV ~ 1 iT~ ~ ~ l I c~. <br /> <br /> i <br /> 1.~, <br /> APPROVED: <br /> Project Manager: Date: ~ ~ <br /> ` ~ <br /> Section Manager: ~ Date: <br /> Financial Analyst: ~ ~ ~ t ~ Date: ~~~f P~ <br /> ~V <br /> Division Manager: Date: ~,.3~ <br /> ~ B <br /> ~ F_OR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ~ ~ ACK ~ ~ ~ <br /> GL Title <br /> Assigne by: Date: <br /> Accoun g by: 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 PINWDivision File GOLDENROD/Project Manager July 2006 <br /> <br />