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„..... <br /> il-c____-, <br /> Public Works <br /> _— Maintenance & <br /> PROJECT AUTHORIZATION FORM Parks and Open Space <br /> City of Eugene <br /> I OGOO 2- 1820 Roosevelt Boulevard <br /> Eugene, Oregon 97402 <br /> i (541) 682 -4880 <br /> (541) 682 -4882 FAX Service ID: SID ✓ PB GL JC JE C. www.eugene-or.gov/parks <br /> Project Title: We_.+ln_ndc-f 17an�Gn Sr-1-.4_ (e_S +v:a..-kr;"_- <br /> (location and work description) (l ,,/ <br /> Project Manage�Contact/Private Engineer: Pr” t c- GCJD ) <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 jt'a Cil Ati.nct- „model <br /> FUNDING SOURCES: <br /> City Assessments Private Other Department <br /> Account Code 3 3 S <br /> Fe / State / Count / FAA / 01> ?O ( %, fixed) <br /> COMMENTS / SPECIAL PROJECT jj INFO O . / INTERDEPARTMENTAL WORK DESCRIPTION: /., <br /> _I jam.4, + )a b : - i t hanGevv,".. f” Cie-lime Or\ /LIZ lbt".c— <br /> S i - L t A , [, ( .t� e-S °l" C (V.(41 id "/rz.� .1r` ?7i i / r'a" cc+ • he-, �R <br /> -cit ti Gt f -c' - aveq-- &* `f 141-70 , R Lrn . d <br /> • <br /> APPROVED: Al/ Oe 'I' <br /> Project Manager: D ate: v'° <br /> Section Manager: ' ,i4/A/ / - Date: Z? --- <br /> IIIIIIIIr <br /> Financial Analyst: - j • - D e /3 <br /> 1 ��_.�. Dat e: 37 C <br /> Division Manager: �. � ° <br /> I <br /> N <br /> / <br /> (� FOR USE BY ADMINISTRATION ONLY (,,I i) <br /> Capital Project No. q 'iS i q 2- ACK 531 - ct - 63S - CQ Isnc — q K I S I '72 as <br /> GL Title i _ — \ - - - \ 0 , _ M - 0 S t r-C 1Z -r-� n 010 0 <br /> Assigned by. .b COC 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 />