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PROJECT AUTHORIZATION FORM <br />Public Works <br />Maintenance & <br />Parks and Open Space <br />Service ID: _ <br />Project Title: <br />City of Eugene <br />1820 Roosevelt Boulevard <br />Eugene, Oregon 97402 <br />(541) 682-4800 <br />(541) 682-4882 FAX <br />SID PB GL JC JE www.eugene-or.gov/parks <br />(location and work desorption) ' <br />Project ManagerjContact/Private Engineer: <br />PROJECT SCOPE: <br />Paving: wi ts Bike lanes/paths: <br />wit <br />Concrete walks: Setback/Curbside <br />engt (width) <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, Other ,~~iZl]DZUrj Remodel <br />FIN ING SOURCES: <br />City ~ ~P Assessments Private Other Department <br />Account Code 3QI-93357/735- °1kXYX r"Y75-5,669 4-p-,,, pcr/cLa,,., <br />Fed / State / Count / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />fixed) <br />APPROVED: <br />Project Mana <br />Section Mane <br />Financial Analyst: <br />Division Manager: <br />in <br />Date: v~ <br />Date: <br />Date: /D/a 9ld 7 <br />Date: <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. A C K J,,?/-933,5 6I 735 <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 />PWWPOS 100 - WHITE/Finance YELLOW/PW Administration File PINK/Division File GOLDENROD/Project Manager July 2006 <br />r` <br />