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~ <br /> . <br /> td~~-g ~O"~ Public Works <br /> Maintenance & <br /> P OJECT AUTH RIZATION FORM Parks and Open Space <br /> City of Eugene <br /> 1820 Roosevelt Boulevard <br /> Eugene, Oregon 97402 <br /> (541) 682-4800 <br /> (541) 682-4882 FAX <br /> S rvice ID: SID PB GL JC JE vvww.eugene-or.gov/parks <br /> P ject Title: ~ <br /> (location nd work description) <br /> P ject ManagerfC ntact/Private Engineer: <br /> ROJECT SCOPE <br /> aving: Bike lanes/paths: <br /> wits wit <br /> oncrete walks: Setback/Curbside <br /> engt w~ t <br /> astewater ~ Stormwater Landscaping <br /> ignal Street lights ROW required <br /> ew building construction Planning, Other ~ I JIS1~L Remodel <br /> F N ING SOURCE <br /> Ci y ~ Assessments Private Other Department <br /> A ountCode 1-933 _ 73 - r~'7S3 6 ,c~c <br /> F /State /Count / AA fixed) <br /> C MMENTS / SPECI L PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> N <br /> i <br /> PPROVED: <br /> roject Manager: ff'h-1 Date: <br /> action Manager: N Date: ~ 2~ ~ <br /> financial Analyst: Date: /D~o19 d 7 <br /> ivision Manager: Date: <br /> i FOR USE BY ADMINISTRATION ONLY ~ <br /> apital Project No. ACK 32/-933.5 fat' <br /> L Title <br /> signed by: Date: <br /> ccounting by: Date: <br /> <br /> A ACHMENTS: <br /> ? udget Estimate ~ ? Developer Agreement ? Engineer's Report on Improvement Petition <br /> <br /> ? DC Budget Wor heat ? Engineering Agreement ? Engineering Service Work Request <br /> <br /> ? ity Engineer's Init ting Order ? Public Improvement Permit Application ? Map <br /> ? Request for Scopin Meeting <br /> M/POS 100 WF~ITE/Finance YELLOW/PW Administration File PINK/Divislon File GOLDENROD/Project Manager July 2006 <br /> <br />