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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 />q / <br />Service ID: I O©d~ l SID-ZPB /GL V JC (541) 682-4882 FAX <br />JE www.eugene-or.gov/parks <br />Project Title: NVN{ r RIZP< Ty1 vr,S 6.< S0Q Gir <br />Awauon and wmk dwonprron) <br />roject Mana ontact/Private Engineer: Lau vi A:6 (.s <br />PROJECT SCOPE: <br />Paving: Bike lanes/paths: <br />Concrete walks: Setback/Curbside <br />Wastewater Stormwater Landscaping <br />Signal Street lights {{R--OW required <br />New building construction Planning, Other Nct Oo li-GA►n vkCerYl 4emodel <br />FUNDING SOURCES: <br />City Assessments Private Other Department <br />Account Code <br />S State / Count / FAA Ito b 7.c> fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />WS <br />APPROVED: <br />Project Manager: Date: <br />Section Manager: J&a Date: <br />Financial Analyst: Date: D / <br />q <br />7~ <br />Division Manager Date: <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No.~5~-41 .2 ACK f~ -q330' <br />GL Title <br />Assigned by: <br />Accounting by: <br />ATTACHMENTS: <br />❑ Budget Estimate ❑ Developer Agreement <br />❑ SDC Budget Worksheet ❑ Engineering Agreement. <br />❑ City Engineer's Initiating Order ❑ Public Improvement Permit Application <br />❑ Request for Scoping Meeting <br />PWWPOS 100 WHITE/Finance YELLOW/PW Administration File PINK/Division File <br />Date: <br />❑ Engineer's Report on improvement Petition <br />❑ Engineering Service Work Request <br />❑ Map <br />GOLDENROD/Project Manager July 2006 <br />l~~ <br />