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.~- Jc. ~ ~C~~ ~~~s ~~~ ~ <br />PROJECT AUTHORIZATION FORM <br />Public Works <br />~ Maintenance & <br />' Parks and Open Space <br />~ ~~// <br />Service ID: _ ` ~ __ ~ ~ N SID <br />- .~.. ~ <br />Project Title: ~r ~. ,w ~ ~~=~ ~ <br />Project Manager/Contact/Private Engineer: <br />PROJECT SCOPE: <br />Paving: Bike lanes/paths: <br />wirs w~r <br />Concrete walks: Setback/Curbside <br />engt wi t <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, her Remodel <br />FUNDING SOURCES: <br />City ~~.~ Assessments <br />Account Code <br />P <br />Other Department <br />Fed / State / Count / FAA <br />~ , COMMENTS / SPECIAL PROJECT INFO. / <br />_ n ....~v 'b~~ ~~. . ._ <br />(%, fixed~ _ <br />~.~ <br />~ <br />~ A~~ <br />APPROVED: <br />Project Mana <br />er: , ~~/~D <br />D <br />t <br />: ~ <br />g a <br />e <br />Section Manager: . Date: ~/ • /~ ' ~ ~ <br />Financial Analyst: ~ ~ ~ ~ ~ ~ Date: ~~ ~~~G~`~ <br />Division Manager: Date: _3 ~~ `°'~~ <br />GnR i~SE BY ADMINISTRATION ONLY <br />Capital Project No._ ~ ~~ ~ ~ `~ :, ACK <br />GL Title ~ -~'~i~~~~,:, , ~~~~~>~ ~'! f~ ~} ~ <br />Assigned by: Date: <br />Accounting by: Date: <br />~ <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 />~ ~~~ ~-c~ ~~~. ~ <br />~~ ~ <br />City of Eugene <br />1820 Roosevelt Boulevard <br />Eugene, Oregon 97402 <br />(541) 682-4800 <br />(541) 682-4882 FAX <br />PB GL JC JE www.eugene-or.gov/parks <br />