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/~ <br /> <br />PROJECT AUTHORIZATION FORM <br />~~ <br />Public Works <br />Maintenance & <br />Parks and Open Space <br />City of Eugene <br />I ~q~/5/1 ~ 1820 Roosevelt Boulevard <br />(~ (JLJ Eugene, Oregon 97402 <br />/ ~~ (541 j 682-4800 <br />Service ID: SID V PB ~ GL ~ JC ~ JE 'www eugene8or.go~parks <br />Project Title: ~~'F'il ands -~ tTG1nSGn S i ~c. t'~S-j-vt~.-~it~. <br />Qocatlon and workdescriptan) <br />Engineer: l <br />PROJECT SCOPE: <br />Paving: <br />Nn s <br />Concrete walks: <br />Wastewater Stormwater <br />Signal <br />New building construction <br />Bike lanes/paths: <br />Setback/Curbside <br />Landscaping <br />Street lights ROW required <br />Planning, Other 1~abi-~a-1' En{1A,ncc-model <br />FUNDING SOURCES: <br />City Assessments Private Other Department <br />Account Code 5 3 I - q <br />Fe /State /Count /FAA ~ ~ d ~D (%, fixed) <br />• COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br />APPROVED: ~ <br />4~ Q~ t1/_ <br />Project Manages ~ ~~ ~ Date: a ~ V ~/ ~O <br />Section Manager. Date: .. ~~ -"~,.T~ <br />Financial Analyst: Date: _ ~~~ ~jOCo <br />Division Manager. - Date: ~ ~/-Q~_ ~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~ `s~ ~Z ACK S3`' q~J3`J' i!.?1~L~1C "' q ~ Sj~Z <br />GL Title ~~~Ci r1~.d " ~ ~~'~ S t ~ ~'S~r-Y'-~ h <br />Assigned by: , Date: - <br />Accounting by: <br />Date: <br />• .ATTACHMENTS: <br />^ Budget Estimate <br />^ SDC Budget Worksheet <br />^ City. Engineer's Initiating Order <br />^ Request for Scoping Meeting <br />^ Developer Agreement ^ Engineer's Report on Improvement Petition <br />^ Engineering Agreement ^ Engineering Service Work Request <br />^ Public Improvement Permit Application ^ Map <br />PWM/POS 100 WHITE/Finance YELLOW/PW Administration Fle PINK/Division File .GOLDENROD/Project Manager <br />July 2006 <br />