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Public Works <br /> 5 )0 Maintenance & <br /> PROJECT AUTHORIZATION FORM EW Parks and Open Space <br /> City of Eugene <br /> 1 // /f 1820 Roosevelt Boulevard <br /> (.. L Eugene, Oregon 97402 <br /> (541) 682 -4800 <br /> (541) 682 -4882 FAX j-/Liii <br /> Service ID: SID PB GL JC JE www.eugene - or.gov /parks <br /> t It <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 /> , j, t <br /> APPROVED: <br /> Project Manager: Date: ' <br /> Section Manager: Date: <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: ' 6 / <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 />