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Public Works <br />Moinfeno nce 8. <br />PROJECT AUTHORIZATION FORM Parks and Open Space <br />City of Eugene <br />l 820 RoosevelT Boulevo rd <br />Eugan e, Oregon 97402 <br />(S4 1) 682 -4800 <br />Service ID: I Q'OP - 3 � SIB _ PB GL JC JE (ww I) 682 -4882 FAX <br />,t w.eugene -o r.gov /parks <br />Project Title: �/ z�lef7 %T� j��Ulcl� /v' /tiAY!/� L .�J1�G --7� ___ _ <br />pocavon an0 work dascrphonJ <br />Project Manager /Contact/P rivate=_ Engineer: J� YA.� '7 v 7�'/�%�ti' 30Ni✓ c � - �ii2,�/ <br />PROJECT SCOPE_ <br />Paving: Bike la s aths: <br />Concr�wallcs: _ _ � s Setb WCUr ide � r <br />Wastewat an9r � Sto ater __W r _ Lan scaping _ <br />Signal \ i reef lig ____ W required <br />New building construction Planning, Other - __ _ Remodel __ <br />FUN DING URCES: <br />City `� � �� t'"�J� Assessments _ ___ Private Other l7epartment <br />Account Code �i!/ - `j ?� 3_j - G J '�> O 7�j � v � - � - _ �� i' - <br />Fed /State /Count / FAA � � __ _ (% , fixed)' <br />COMMENTS /SPECIAL PROJECT INFO_ /INTERDEPARTMENTAL WORK DESCRIPTION: <br />�U�./1�1.� -'c- i o.Z fc_ -: � : cT A�D:2c - mss 1/A z.�/C p :T�E�= iss y"-=S i. <br />APPROVED: _ '_ <br />Project Manager: - � i-� - --- <br />__ <br />Date: % ��� � Z <br />Section Manager: <br />� .� <br />Date: _ -� -_ ( S- <br />Financial Analyst: <br />Date: 3�iJ �/ Z <br />_.! i � __ <br />Division Manager � %� � � � - - <br />Date: ' -- �' -- <br />_ -� - <br />F O R U S E B Y A D M I N I S T R A T I O N O N L Y <br />capital Project No. ACK <br />3L Title <br />\ssigned by: Date: __ <br />\ccou nting by: Date: - _ _ <br />ATTACHMENTS = <br />O Budget Estimate D Developer Agreement D Engineer's Report on Improvement Pefition <br />o sac Budget WorKsheet O Engineering Agreement O Engineering Service Work Request <br />D City Engineer's Initiating Order D Public Improvement Permit Application D Map <br />D Request for Scoping Meeting <br />PWM /POS t00 WHITE /Finance YELLOW /PW Administration File PINLV division Fila GOLOENBO� /Project Manager July 2006 <br />