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Public Works <br /> ` Maintenance & <br /> PROJECT AUTHORIZATION FORM ~ Parks and Open Space <br /> City of Eugene <br /> 1820 Roosevelt Boulevard <br /> / / ~ ~ Eugene, Oregon 97402 <br /> Service ID: ~Q~ / SID PB GL JC J (vmw eugeneso ~go~parks <br /> Project Title: <br /> (kicafbn and work tlescripfi°nJ <br /> Project Manager/ContacUPrivate Engineer: ~2~ r <br /> PROJECT SCOPE: <br /> Paving: ~ s Bike lanes/paths: <br /> Concrete walks: Setback/Curbside <br /> ng w <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, Other Remodel <br /> FUNDING SOURCES: p" " 6 G ~ (~~~J `7°I ~DI~ ' l~ t 6fo Nti gq,s~~Z <br /> Gri?~l~ N rrS~ u <br /> City ~ ~'L o Assessments Private Other Department <br /> <br /> Account Code <br /> Fed /State /Count !FAA fixed) <br /> COMMENTS! SPECIAL PROJECT INFO.! INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 4 <br /> APPROVED: ~ b <br /> o <br /> Project Manager: Date: I r~' <br /> Section Manager: Date: Gl'- 2E - f5$ <br /> Financial Analyst: Date: 1L~/3 i~'1 <br /> Division Manager: Date: /Z-~-~~ <br /> /n'~//~~_FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~1"l~ ~ Z ACK 33~e C( 33'S' qC) S yQ Z ~ Z <br /> GL Title <br /> Assig d by: Date: I Z <br /> Acco nting by: Date: <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Repon on Improvement Petition <br /> SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> City Engineer's Initiating Order ? Public Improvement Permit Application tap <br /> ? Request for Scoping Meeting <br /> PWMlPOS 100 WHITE/Finance YELLOW/PW Administration File PINK/Division File GOLDENROD/Project Manager July 2006 <br /> <br />