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Stormwater <br />Public Works <br />Maintenance & <br />PROJECT AUTHORIZATION FORM Parks and Open Space <br />City of Eugene <br />1820 Roosevelt Boulevard <br />Eugene, Oregon 97402 <br />(541) 682-4800 <br />Service ID: 100(7 7 SID PB 1/ GL JC JE (54~1) 82e-e4882 FAX <br />/ t <br />-or.gov/parks <br />Project Title: NC)PrA -De POn 1S R. R w x <br />Obcacon and mfkd"crgo m) ( h r~ ~l B1(' ZU 10 - O q 03 <br />roject snag ContacWrivate Engineer: L..&L&h AO t-K <br />PROJECT SCOPE: <br />Paving: Bike lanes/paths: <br />Concrete walks: Kn Setback/Curbside w i WON w <br />Wastewater <br />Signal _ <br />New building construction <br />0 <br />Landscaping <br />Street lights ROW required <br />Planning, Other A1oi I G~k 6w' Remodel _ <br />APPROVED: <br />Project Manager: Date: f r Log <br />Section Manager: Date:' - yg <br />i <br />Financial Analyst: Date: i ~(J S <br />Division Manager: Date: <br />/)VLIJ11 /1clU FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. / 96 -T-- _-7 ACK 53 I- 9335=,&x=2CX -5;1- C7 <br />GL Title <br />Assigned <br />Accounting by <br />ATTACHMENTS: <br />❑ Budget Estimate <br />❑ SDC Budget Worksheet <br />❑ City Engineer's Initiating Order <br />❑ Request for Scoping Meeting <br />PWWPOS 100 WHITE/Finance <br />vQLU. <br />❑ Developer Agreement ❑ Engineer's Report on Improvement Petition <br />❑ Engineering Agreement ❑ Engineering Service Work Request <br />❑ Public Improvement Permit Application ❑ Map <br />YELLOW/PW Administration File PINK/Division File GOLDENROD/Project Manager July 2006 <br />FUNDING SOURCES: <br />City IPLk -k 53 Assessments Private Other Department <br />Account Code <br />(ed State/ Count/ FAA At, w 4 Z 132 V ► a lV o h p, NV P A- q r-M;X 1000'.) r%. fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRI 6ON: <br />