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• <br /> Public Works <br /> Maintenance & <br /> PROJECT AUTHORIZATION FORM EUGENE Parks and Open Space <br /> City of Eugene <br /> 1820 Roosevelt Boulevard <br /> I / ���`y"3 I Eugene, Oregon 97402 <br /> l �-�/ (541) 682 -4800 <br /> 1 <br /> Service ID: L /i4 �1 SID V / P C B / GL JC JE (541) 682 - 4882 FAX <br /> Project Title: ft =- ` �L• /� ► � a-� ✓ f �_.E - -� cr <br /> (location and work description) <br /> Project Manager /Contact/Private Engineer: j f! A ('jC !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 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 /> 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 et: -2 c <br /> t 2 ?.�� fr � ' I51(t <br /> h � <br /> GL Title <br /> �IV <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 />