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1 <br /> 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 /> (541) 682 -4882 FAX <br /> Service ID: SID PB GL JC JE www.eugene - or.gov /parks <br /> Project Title: <br /> (location and work description) <br /> Project Manager /Contact/Private Engineer: <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback/Curbside <br /> (length) (width) <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, Other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other Department <br /> Account Code <br /> Fed / State / Count / FAA ( %, fixed) <br /> COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager: ( - 14 J '` - 1 Date: <br /> Section Manager: Date: <br /> Financial Analyst: Date: <br /> — <br /> Division Manager: / � Date: < (-) <br /> FOR USE BY ADMINISTRATION ONLY (/� f <br /> Capital Project No. ACK ! �/` <br /> GL Title v ` ' ' G4 <br /> Assigned by: Date: <br /> Accounting by: Date: Y OP <br /> e <br /> ATTACHMENTS: 1/41? y % <br /> ❑ Budget Estimate ❑ Developer Agreement ❑ Engineer's Report on Impr. F' ent P r n <br /> ❑ SDC Budget Worksheet ❑ Engineering Agreement ❑ Engineering Service Work uest <br /> ❑ City Engineer's Initiating Order ❑ Public Improvement Permit Application ❑ Map /C <br /> ❑ Request for Scoping Meeting <br /> PWM /POS 100 WHITE /Finance YELLOW /PW Administration File PINK/Division File GOLDENROD /Project Manager July 2006 <br />