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PROJECT AUTHORIZATION FORM <br />~.~~~ ~ ~ / <br />Service ID: ~ ~' SID PB V GL <br />Project Title: ~`~~f'f'T~Sl7 ~/l~~ ~CpU~~ I <br />(location and work description) <br />City of Eugene <br />1820 Roosevelt Boulevard <br />Eugene, Oregon 97402 <br />(541) 682-4800 <br />/ (541) 682-4882 FAX <br />'! JC JE www.eugene-or.gov/parks <br />Project Manager/Contact/Private Engineer: ! ~ <br />PROJECT SCOPE: <br />Paving: <br />w~rs <br />Concrete walks <br />engt w~ t <br />Wastewater Stormwater <br />Signal Street lights _ <br />New building construction Planning, O er <br />Public Works <br />Maintenance & <br />Parks and Open Space <br />Bike lanes/paths: <br />wi t <br />Setback/Curbside <br />Landscaping <br />ROW required <br />Remodel <br />FUNDING SOURCES: <br />City ~~I~ll7 Assessments Private Other Department <br />Account Code <br />Fed / State / Count / FAA (%, fixed) <br />~ i COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />~'Lv ~ ~t P ° ~ '~~' D , ooc~ <br />~1~ ~~> 1~5'st Tl~a~-.S ~ ~clJ IJ ( ~ G~ - ~5T/r~ -~'l YYt ~ . ~h1Z.~l'I~~l't~ S <br />APPROVED: ~ <br />~ <br /> <br />Project Manag ~ <br />~~G ~- <br />Date: <br />Section Manager: ~ • Date: / ~ ~ ~ ~ ~~ <br />Financial Analyst:,, ~ '% ~ Date: ~~l~~G(~ <br />Division Manager: ~ Date: ~ "'~ ~ ~~ ~ <br /> <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. %7~yff~ ACK <br />GL Title ~~bdd~teU~ ~(~,~~~(~.~+~ <br />Assigned by: Date: <br />Accounting by: Date: <br />~ . <br />~`• - ATTACHMENTS: <br />^ Budget Estimate <br />^ SDC Budget Worksheet <br />^ City Engineer's Initiating Order <br />^ Request for Scoping Meeting <br />PWM/POS 100 WHITE/Finance <br />^ Developer Agreement ^ Engineer's Report on Improvement Petition <br />^ Engineering Agreement ^ Engineering Service Work Request <br />^ Public Improvement Permit Application ^ Map <br />YELLOW/PW Administration File PINK/Division File GOLDENROD/Project Manager July 2006 <br />