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PROJECT AUTHORIZATION FORM <br />Public Works <br />Maintenance & <br />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: FS ~ 15 ilryn rn' FIAMM l N(~r <br />(location and work description) <br />Project Manager/Contact/Private Engineer: KOM $3 5 <br />PROJECT SCOPE: <br />Paving: <br />(widths) <br />Concrete walks: <br />eng <br />Wastewater Stormwater <br />Signal Street lights <br />New building construction tanning, her <br />Bike lanes/paths: <br />Setback/Curbside (wiarn) <br />Landscaping <br />ROW required <br />Remodel <br />FUNDING SOURCES: <br />City Assessments <br />Account Code <br />Fed / State / Count / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / I <br />C60 <br />Private Other Department <br />AL WORK DESCRIPTION: <br />fixed) <br />A7~D y I SsiT'Lt».f ~Ch1 N I ~ l~► 1-Jl'F~ TI rn c_ ~'H~CC~~ <br />~U ,~t~ N f i~ t~l~„c-rr~s Yntl~t ~rr1~r~~zr~ ~IJ Fi/TV <br />APPROVED: <br />Project Manager: Date: <br />Section Manager: Date: _3 • /4 . O 7 <br />Financial Analyst: Date: ~~rJ rZ <br />Division Manager: Date: _ 2-2-0-07 <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 ❑ 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 M06 <br />I <br />