Public Works <br /> Maintenance & <br /> PROJECT AUTHORIZATION FORM EUGENE Parks and Open Space <br /> City of Eugene <br /> 1820 Roosevelt Boulevard <br /> Eugene, Oregon 97402 <br /> (541) 682 -4800 <br /> 1 (541) 682 -4882 FAX <br /> Service ID: 1 D() jJ i ' `` SI D PB GL JC JE www.eugene- or.gov /parks <br /> Project Title: 0y J �{ + t 4 (.Jo t' f G. ( Z P y c" rC_e S <br /> (location and work description <br /> roject Marla Contact/Private En • ineer: k " Ci& r <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> Concrete walks: (widths) (width) <br /> (length) Setback/Curbside <br /> (width) <br /> Wastewater Storm • - ter Landscaping <br /> Signal Street lig' s ROW required <br /> New building construction Planning, 0 'er 7 u 1� �Q� ►lJItRemodel <br /> FUNDING SOURCES: <br /> City Assessments Pri : to Other Department <br /> Account Code <br /> e d State / Count / FAA 7 6. 3 '4 SC <br /> , rail f u ( %, fixed) <br /> COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL W - DESCRIPTION: <br /> • 1 1 Jr <br /> h posc c1 I �l _(;3 l `a r v. 1 tC 6c.-r <br /> P1t.o5 -I 1c ^ -k-. ed5 .. of /I SSohc c • 1 el � <br /> Y CC 9 i ( ra., -- 4 665). <br /> APPROVED: �- <br /> Project Manager: 4 (- Dat- • 67 — S — 0 9 <br /> Section Manager: �� ► 01r/ Date: • — �� U <br /> Financial Analyst: Date: <br /> Division Manager: 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 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 PINK/Division File GOLDENROD /Project Manager July 2006 <br />