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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 /> 10D 0C_J 0 1 Eugene, Oregon 97402 <br /> (541) 682 -4800 <br /> (541) 682 -4882 FAX <br /> Service ID: L 14 1 4 SID PB GL JC JE www.eugene - or.gov /parks <br /> Project Title: wdM 4 rLOtp .:. 13L-4 t4 -/ t/i SA-ca vd- <br /> (location and work description) <br /> ,— <br /> oject Manager ontact!Private Engineer: . _ , r C 1 t <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 T /1/OCHIlL Remodel <br /> 3 .1 I. ( o r <br /> FUNDING SOURCES: <br /> City Assessments Private Other Department <br /> Account Code 331 -1 3 3 <br /> Fed State / Count / FAA l° <O ( %, fixed) <br /> COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br /> .-- 7/ 1, C. t git CA 01'11 et • r isr.c_ 116L4 -1'w s jr+ rem -ora i` n,0 ON- I.f`it <br /> .d' C . . • /A/� • /I. 40 Ii,, / 4 14 /,',__ *. <br /> C -L .tica " e 1. C) 95'fb3 <br /> i t APPROVED: <br /> i i . Project Manager: / •A . .4 , �= Date: 9 '�6 O <br /> Section Manager: ' / J // �. Date: h //i(e <br /> t <br /> 4 :. .�''�.. t .. � <br /> Financial Analyst: Date: <br /> Division Manager: _ / � / _ . _ _ Date: 5" _ ?,( 0 <br /> 1 <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 />