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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 /> w ~ (541) 682-4800 <br /> Service ID: ~ ~ 1 ~ / / (541) 682-4882 FAX <br /> SID 5/ r6 GL JC JE www.eugene-or.gov/parks <br /> Project Title: pVt~~Pt- ~Q.-~~. '~vtc~S ~i`Z,~~- ~v~ v'e~S i ~ Spa ciY ~ <br /> (location and work description) <br /> roject <br /> a a ontact/Private Engineer: ~ vi <br /> PROJECT SCOPE: <br /> Paving: Bike lanes/paths: <br /> Concrete walks: wr r S Setback/Curbside wt r <br /> engt wr t <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, Other ~ib~~-~"[~~cv10~~flemodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other Department <br /> Account Code <br /> State /Count /FAA I ~ ~ ~ l ~ fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. / I3N.,,TERDEPARTMENTAL WORK DESCRIPTION: i <br /> ~1rl~~S~ ,,i(n~ r * w j~i~i t~ Pr~g'~y <br /> ~ <br /> .~v~~ ~ ~,~e_ k~i`.g yl.~~ ~~r''0. aj ~~e~ ~a ~et~2E~ ~ ~ ~ ~ <br /> <br /> ~ ~ 11 ir~!W.~rey ~1AIX~` R.~ -1~-br°" A ~a i/L~ ~ l ~ t <br /> I~A t~ ~V1.ciY~'1a 1At~1:`lt~ - <br /> APPROVED: ~ <br /> Project Manager: ~ ~,~~a"~-'~'~ Date: ~ ~ <br /> Section Manager: Date: <br /> Financial Analyst: ~ ~ - ~ ~ Date: ~ ~ <br /> Division Manager: - Date: <br /> FOR USE BY ADMINISTRATION O~+NLY <br /> Capital Project No. ACK J ~ `7 ~ ~ ~ ~ ~'Jrs,~G~~ ~~~'~~Ca <br /> GL Title <br /> =,y <br /> Assigned by: ~ ~ Date: $ ~ <br /> Accounting 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 PINK/Division File GOLDENROD/Project Manager July 2006 <br /> <br />