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' ~ ~~~ <br />~ <br />~ ~~L ~~ <br />PROJECT AUTHORIZATION FORM <br />Public Works <br />Maintenance & <br />Parks and Open Space <br />City of Eugene <br />1820 Roosevelt Boulevard <br />~ Eugene, Oregon 97402 <br />~ %~ ~~7~~ ~ ~ ~0 (541) 682-4800 <br />Service ID: C~O~~~? SID / PB ~ GL `~ JC ~/ JE ~~ (541) 682-4882 FAX <br />www.eugene-or.gov/pa rks <br />Project Title: o! ~b~~ ~~~5 GF7 u[~ ~ 1^"I n t~' ~~ ts ra ~~~r <br />(location and work description) <br />Project Manager/Contact/Private Engineer: =~ V`fN ~~l~vS <br />PROJECT SCOPE: ~VI~I-T1,~T~ ~~w( <br />Paving: Bike lanes/paths: <br />Concrete walks: w~ t S SetbacWCurbside w~ r <br />engt wi t <br />W astewater Stormwater <br />Signal Street li hts qui p <br />Newbuildingconstruction lanning, ther ~NN~~i Remodel <br />itt~~t-5 ~u6 <br />FUNDING SO C ~ <br />City ~~~ ~~ Assessments Private Other Department <br />Account Code _ 3?'~ -~ 3 3'r~' -~ 7 5! 5 Z- <br />Fed / State / Count / FAA <br />(%, fixed) <br />i" COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />, <br />,. .~a'fv'~~ I S fTl~1 (~~~ Or.~ I~-/ - I~1aT" ~b~ ~El.fl ~ i-' <br />- - ~ <br />~ 2dd fv - c <br />__._ . <br />~~'i S C !z~ -~-~ i.~. r` i ~ 6'~°~a~7a s~ ~b' P'" `~'~ac~ C~~ca va~ r° .s ~' F % ~ ``(~'~.~ ~ "~J ~ ~"x r~~~ r~~G^a.-s, r ~s .~ ~ °~ <br />~dJ l ~ ~ ! G,~'~. e"~ '~c~~ i ~ ~ t~'~ rJ6..?e'.;t' r~I\ tt.C $'L( ~ 2 ~~ i11, ~S (~ S ~'~~; 'C~Yc'~, "~C.1~C~ Q S`A~ (~ "1X. .~.lS L 1'\ ~ c~i- ~~~$.Va. Y'!t (l,~ <br />T ~- <br />L,LL:P>a' ~L~° <br />APPROVED: . <br />Project Manager: _L .~~ij~tiK-,~ ~. ~~l ~~,c~-~--- Date: c.~ •~' ~7 <br />Section Manager: Date: ' ~ ' ~ <br />Financial Analyst: Date: ~ ° ~ ~ <br />Division Manager: Date: v~ "'G?~/ <br />, <br />Assigned by: _~ °~ ~~~'~~ ~~ ~~~~ ~ ~ ~~ <br />Date: <br />Accounting by: <br />Date: <br />. __ <br />~ 'ATTACHMENTS: <br />^ Budget Estimate ^ Developer Agreement ^ Engineer's Report on Improvement P..,etition <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 />~~,__ <br />PWM/POS 100 WHITE/Finance YELLOW/PW Administration File PINK/Division File GOLDENROD/Project Manager July 2006 <br />