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PROJECT AUTHORIZATION FORM <br />Public Works <br />Maintenance & <br />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 />Service ID: SID PB GL JC JE www.eugene-or.gov/parks <br />Project Title: N ~~ S <br />(location and work description) <br />Project Manager/ContacUPrivate Engineer: S <br />PROJECT SCOPE: <br />Paving: <br />wi rs <br />Concrete walks: <br />engt <br />W astewater <br />Signal <br />New building construction <br />Bike lanes/paths: <br />wi t <br />Setback/Curbside <br />w~ t <br />Stormwater Landscaping <br />Street lights ROW required <br />Planning, Other ~~~)(~1~~~'~ Remodel <br />FI~N IN~ G~~SOURCES: <br />City ~ .~ Assessments Private Other Department <br />AccountCode 3~~-9335"~0/73$- `~kXXXk ~~753~~dy ~ra„,. p~~~c~~ <br />Fed / State / Count / FAA <br />COMMENTS / SPECIA~ PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />'~ <br />(%, fixed) <br />APPROVED: <br />Project Manager: ~;~-~ V`~'1'-~ I,,~Z~'~l ~ <br />Section Manager: ~ ~'v ~(~ <br />Financial Analyst: --~~~r~f,~'~ EL~ ~~ <br />Division Manager: <br />Date: ~ /~ ~ _ <br />Date: ~ f~' ~ <br />Date: !o/a 9~0 7 <br />Date: <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No._~~/D f ACK <br />GL Title <br />Assigned <br />Accountin <br />ATTACHMENTS: <br />^ Budget Estimate <br />^ SDC Budget Worksheet <br />^ City Engineer's Initiating Order <br />^ Request for Scoping Meeting <br />PWM/POS 100 WHITE/Finance <br />^ Developer Agreement ^ Engineer's Report on Improvement Petition <br />^ Engineering Agreement ^ 6ngineering Service Work Request <br />^ Public Improvement Permit Application ^ Map <br />YELLOW/PW Administration File PINWDivision File GOLDENROD/Project Manager July 2006 <br />_ __ _ _ <br />_ <br />