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i <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 />(541) 682-4882 FAX <br />Service ID: SID PB GL JC JE www.eugene-or.gov/parks <br />Project Title: nwve° "i1 - ~C U1155 jlzn4 fl~& M l 067t - - <br />(location andwork description)` t /'A <br />Project Manager/Contact/Private Engineer: _ - I!S <br />PROJECT SCOPE: <br />Paving: Bike lanes/paths: ----7width) <br />wits <br />Concrete walks: Setback/Curbside <br />(length) w t <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, her Remodel <br />FUNDING SOURCES: <br />City ~ Assessments _ <br />Account Code <br />Fed / State / Count / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / <br />fixed / <br />ti i <br /> <br />APPROVED: <br />Project Manager: Date: ( <br />Section Manager: Date: 4 7 <br />Financial Analyst: Date: <br />Division Manager: Date: 3 <br />RnR llqE BY ADMINISTRATION ONLY <br />Capital Project No._ T75 37 2 ,r1, ACK -3 Z"t R 3 3S- Q <br />GL Title rvl cv► t.t r 1'-[ ' ~1 1 <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 />PWM/POS 100 WHITE/Finance YELLOW/PW Administration File PINK/Division File GOLDENROD/Project Manager July 2006 <br />Private Other Department <br />