<br /> i <br /> <br /> I <br /> <br /> I <br /> Public Works <br /> Maintenance & <br /> PROJECT AUTHORIZATION FORM Parks an <br /> d Open Space <br /> City of Eugene <br /> 1820 Roosevelt Boulevard <br /> Eugene, Qregon 97442 <br /> X541 } b82-4800 <br /> Service !D: ~ ~ Sip ~54~ } b82-4882 FAX <br /> PB GL JC JE www,eu ene-or, ov arlc <br /> g g /p s <br /> Project Title: ~ ~ <br /> ~ ~ <br /> (rocafron and work desorption) ' <br /> Project Mana er ontactlPrivate En ineer: ~ ~ ~ <br /> 1 g g ~ C <br /> PROJECT 5COPE: <br /> Paving: Bike lanes) ath <br /> wr t s p s. <br /> Concrete walks: SetbacklCurbside ~7wr t <br /> engf wr <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, Other ~~~emodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other Department <br /> Account Code 51~ ~ ' ~ ~ ~ ~ ~ ~ ~ <br /> ed State 1 Count 1 FAA ~ ~ ` <br /> fixed} <br /> COMMENTS I SPECIAL PROJECT INF0.1 INTERDEPARTMENTAL WORK DESCRIPTfON: <br /> a~IM <br /> 5 ~ ~ <br /> f~ ~ <br /> APPROVED: <br /> Project Manager: ~ ~ <br /> Date: ~ q <br /> Section Mana er: ~ , <br /> 9 <br /> Date. ~ <br /> f <br /> 1 ~ ~ ~ <br /> Financial Analyst: ~ ~ ~ ~ <br /> = Date: ~ f <br /> r ~ <br /> Division Manager: <br /> Date: <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK <br /> GL Title <br /> Assigned by: Date: <br /> Accounting by: Date: <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report on Improvement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Re nest <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map q <br /> ? Request for Scoping Meeting <br /> PINMIPQS X00 WHITEIFinance YELLOINIPINAdministration File PINKIDivision Fiie G~LDENRODIPraject Manager ~1u1 2006 <br /> Y <br /> <br />