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Public Works <br /> Maintenance & <br /> PROJECT AUTHORIZATION FORM Parks and Open Space <br /> City of Eugene <br /> 1820 Roosevelt Boulevard <br /> Eugene, Oregon 97402 <br /> Q�� �- (541) 682 -4800 <br /> ��w <br /> (541) 682 -4882 FAX <br /> Service ID: SID PB GL JC JE www.eugene - or.gov /parks <br /> Project Title: I/Jc+1 ex. n H i -r Si }t (t- S +vrecki)fti <br /> (location and work description) `` <br /> Project Manage ontact/Private Engineer: t D <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> Concrete walks: (widths) Setback/Curbside (width) <br /> (length) (width) <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, Other /46 CV I a.► c:_- MLmodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other Department <br /> Account Code G.3 i - c p, 5 <br /> Fe / State / Count / FAA /06 / 0 ( %, fixed) <br /> COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br /> T r y 4 " 4-4 t nt; <br /> L � " -vV,-t + u,� / on -/-i6nc v i 4-44 <br /> to .L (A.14-Si" £tq� 64' 424 r, 7 S Ar-a <br /> Cv n-- a.vo q'- Dc goy f i (7 ,e L 1 . <br /> Al <br /> Project Manager: Id Date: <br /> Section Manager: % �. _ Date: <br /> Financial Analyst ►$' - ' A , ! Date: & <br /> Division Manager: .1 . -/ 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 />