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Public Works <br /> — Maintenance & <br /> PROJECT AUTHORIZATION FORM EUG 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: 1 OQUt? 42 SID PB GL JC JE www.eugene - or.gov /parks <br /> Project Title: Vie'; "1.sl►ti ,S — Vc2. ell M 10 - L?1Y'tCo <br /> (location and work description) ,l <br /> roject Manage ontact/Private Engineer: 'r1t V R. Y -ele- <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 W tin t 10..o ;Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other Department <br /> Account Code 53 I " 't 335 $/t/q, 77z <br /> Fed State / Count / FAA 1 t;9 0 ( %, fixed) <br /> COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br /> a m r14 mt• -Xt .? V r , al /! \l el e,. A . i All (.42• UtJo , evl 61--m <br /> r^ it i e . n a -S� ! V V LA) z%�"i 'b i. S . 'TV A �" e ? 5 . ^ c . i 5 <br /> b ,_;„ ' ►n o t ,, C r -,.; f'v, A zt ' .l 00.7 ._ 0 .s -. i 7 i <br /> APPROVED: ' <br /> Project Manager: 1 - ' 1. "`� I Date: 4 / ,/7 <br /> Section Manager: / v' 1 Date: .4 5 <br /> Financial Analyst: 1' ' ''•' --�' Date: �( / `t /' <br /> Division Manager: iJ� .i � -■"' ! ��,% / _ Date: 1/ <br /> FOR USE BY ADMINISTRATION ONLY <br /> q Capital Project No. ACK "I t7 r <br /> GL Title Sig <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 /> L M/PO S ❑ Request for Scoping Meeting <br /> 100 WHITE /Finance YELLOW /PW Administration File PINK/Division File GOLDENROD /Project Manager July 2006 <br />