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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 />j (541) 682-4882 FAX <br />Service ID: I SID PB GL JC JE www.eugene-or.gov/parks <br />Project Title: (a tua6m, &h2a-k s[-r-y~.s ~7tW is [ N LZ <br />Qocetion and work de notion) <br />Project Manager/Contact/Private Engineer: f:?t1 L.(f=N' ~I <br />PROJECT SCOPE: <br />Paving: (widths) Bike lanes/paths: <br />(width) <br />Concrete walks: Setback/Curbside <br />nenath) (Width) <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction anning, they Remodel _ <br />FUNDING SOURCES: <br />City Vft'*J1> Assessments Private Other Department <br />Account Code n2l ' 2335., XKX>c,<- rf~~ ~J,~}I 2 <br />Fed / State / Count / FAA fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />2.00 e agr~ Ekw <br />fz A~1~U14s1 Tl 1~C~ N I NGI STh TI M E I ~ <br />APPROVED: <br />Project Manager: Date: b • f7 <br />Section Manager: Date: 3 Financial Analyst: Date: <br />Division Manager: _ Date: 3 °~E) <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ACK <br />GL Title <br />Assigned by: Date: <br />Accounting by: Date: <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 <br />❑ Engineering Agreement <br />❑ Public Improvement Permit Application <br />❑ Engineer's Report on Improvement Petition <br />❑ Engineering Service Work Request <br />❑ Map <br />YELLOW/PW Administration File PINK/Division File <br />i <br />GOLDENROD/Project Manager July 2006 <br />