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Public Works <br />Maintenance & <br />PROJECT AUTHORIZATION FORM 5L 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: ~f (J SID PB ~ ~ GL JC JE www.eugene-or.gov/parks <br />Project Title:5~~D~ 11(1GM 40n, jbosso1i AMP&Tr6w PkinN I0 ! 0U <br />(location and work description) <br />Project Manager/Contact/Private Engineer: <br />PROJECT SCOPE: <br />Paving: <br />wits <br />Concrete walks: <br />engt <br />Wastewater <br />Signal <br />New building construction <br />Bike lanes/paths: <br />(width) <br />Setback/Curbside <br />w <br />Stormwater <br />Street lights _ <br />Planning, ther <br />Landscaping <br />ROW required <br />Remodel <br />FUNDING SOURCES: <br />City;7,6016- R6 Rsessments <br />Account Code <br />Private Other Department <br />Fed / State / Count / FAA fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />sob jo ws 00 N o - ~ Ib,bC~o <br />RAE- <br />APPROVED: 0610 <br />Project Manager: Date: Section Manager:- Date: 07 <br />Financial Analyst: Date: 7 <br />Division Manager: Date: 3 <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. qA5 3SZ ACl< 3Zy 433_5 & 4xxx q-75352 <br />G L W,-7 fj o~ ~y tal n n 01 „tb t ~X L. <br />Titl e <br />Assigned <br />Date: `~lyle <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 />PWM/POS 100 WHITE/Finance YELLOW/PW Administration File PINK/Division File GOLDENROD/Project Manager July 2006 <br />