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~ ~ <br />~~~°~. ~--~--~._._. <br />~ ~~~,~ .~--, <br />~. <br />:.~ <br />PROJECT AUTHORIZATION FORM <br />City of Eugene <br />1820 Roosevelt Boulevard <br />~,`~~P~' Eugene, Oregon 97402 <br />~ ~ ~" (541) 682-4800 <br />Service ID: ~~~ SID ~ PB ~ GL ~ JC ~ ~E ~~~ (541) 682-4882 FAX <br />www.eugene-or.gov/pa rks <br />Project Title: ~~~~1~ ~-0f~-l~ ~~ 1~~+~~Y~'I ~t~lTS A-7- Co ~-SSf~01 ~~. +-~' ~(L~ <br />(location and work description) <br />Project Manager/Contact/Private Engineer: __~~~~ TN~~-~ , ~5 ~ ~71 'l~' <br />PROJECT SCOPE: <br />Paving: ~~ r <br />~~, W,rs 6 <br />Concrete walks: <br />engt w~ t <br />W astewater Stormwater <br />Signal Street lights <br />New building construction Planning, Other <br />Bike lanes/paths: <br />W, r <br />Se~tbas~/Cu rbsid~ <br />Landscaping _ <br />ROW required <br />Remodel <br />Public Works <br />Maintenance & <br />Parks and Open Space <br />FUNQ~NG SOURCES:,~(C SvL <br />City~~7~ ~ Assessments Private Other Department <br />Account Code <br />Fed / State / Count / FAA (%, fixed) <br />~` '; COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: C~"1`+ ~ Gt~ ~,(~`~--(~53 ~'3 cJ <br />~t : <br />~JI~~' W~~ ~- ~f~'~~ '7~ ~/~'N~ ~'~~ ~G~~~ ~i~s ~- ~~~ f' ~! ~, <br />fJX~S7~IG7~Il"J~ G~ ~D~/7fi~t~NK l~ ~ / -~PJ~~-~7N~ ~S.S'I{0~~~ f~l,~-- ~; <br />APPROVED: ~ ~, ~ <br />Project Mana ~ <br />~~ ~> ~ ~,,p' ~ <br />Section Manaaer. ~` '~ <br />i <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 />~ <br />Date: ~~~ ~e~ <br />Date: ~~ t` ~ ~ ~ <br />Financial Analyst: ~ `~` z - Date: S! Z~G ~- <br />,~ <br />€ <br />Division Manager: '~-- Date: .~ ~,~ ~-~~~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~~~ ~ ~. ACK ~~~' ~ ~~~ ~~-~. ~ ~~ ~ ~; <br />GL Title ~ ~~~ l'y'C,' ~ -~"~ b~ ~' ~~ <br />~ ~ / <br />Assigned b,yf ~ ~~ ~ d " '" ~ ~„s~~~-=~.' Date: ~/ ~~ ~~~ <br />~,. ~~' ~ <br />Accounting by: Date: <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 />