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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 /> (541) 682-4800 <br /> (541) 682-4882 FAX <br /> Service ID: ~ ~ ~ SID ~ PB ~ GL JC JE ` e e-or.gov/parks <br /> Pro'ectTitle: uCP!''R Pc~'~s a.v :~Q <br /> J <br /> (location and work description) ~ ~y ~ r,y~ ~ <br /> roject Manag <br /> Contact/Private Engineer: ~-~.~vi <br /> PROJECT SCOPE: <br /> Paving: Bike lanes/paths: <br /> wits wit <br /> Concrete walks: Setback/Curbside <br /> engt wi t <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, Other as`~T ~y+C~~Remodel <br /> FUNDING SOURCES: ' <br /> City ~ Assessments Private Other Department <br /> <br /> Account Code <br /> ed State /Count /FAA ~ ; (e~' ~1s~~- Y~'C:t ~E'~~' ~~.R ~8 ~vv~ Cj®c~ °~.1 fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> a v~ ti r' ct-, ~ ~ R "T~o~_ L.~-~r~r~.~- ~-f-?,~.~~;~-- a .a 1~ i~ i.~.,~, <br /> APPROVED: <br /> Project Manager: ~ Date: 7r ~ l ~ q _ <br /> Section Manager: ~--•--s Date: <br /> Financial Analyst: Date: j <br /> Division Manager: Date: ~ Z= <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~[~S`2 ACK ~'-3 9~ ~ ?~x~c~ r9~~z.~ jam,=.~~~ <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 Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> ? Request for Scoping Meeting <br /> PWM/POS 100 WHITE/Finance YELLOW/PW Administration File PINWDivision File GOLDENROD/Project Manager July 2006 <br /> <br />