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i <br />Public Works <br />Maintenance & <br />PROJECT AUTHORIZATION FORM <br />Parks and Open Space <br />City of Eugene <br />1820 Roosevelt Boulevard <br />S <br />i <br />ID <br />SI <br />/ <br />/ <br />Eugene, Oregon 97402 <br />(541) 682-4800 <br />(541) 682-4882 FAX <br />erv <br />ce <br />: <br />D PB <br />G L JC <br />JE <br />www.eugene-or.gov/parks <br />Project Title:Y ` bI~~ <br />U~~ (?S <br />C1~1(1~1(►~(~ <br />(location and work description) <br />Project Manager/Contact/Private Engineer: L <br />PROJECT SCOPE: <br />Paving: <br />wits <br />Concrete walks: <br />(length) (wkfth) <br />Wastewater Stormwater <br />Signal Street lights <br />New building construction Planning, O er <br />Bike lanes/paths: <br />Setback/Curbside twiarn) <br />Landscaping <br />ROW required <br />Remodel <br />FUNDING SOURCES: <br />City f65 amtD Assessments Private Other Department <br />Account Code <br />Fed / State / Count / FAA fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />fb6 'phi P - + 50, ~a <br />J (~rTlai.S t7'c~l~l 1.~ r ~1la - ~T/1'f~ ~lil'Yt ~ . A'1~btZ.~'lZ>ICt~ 5 <br />APPROVED: <br />ll <br />Project Manag <br />Oly <br />Date: <br />Section Manager: <br />Date: <br />Financial Analyst: <br />Date: 3l ze~ <br />Division Manager: <br />Date: 3 -40-07 <br />FOR USE BY ADMINISTRATION ONLY 4,W eA7 <br />Capital Project No. 97530;2., ACK 23 <br />A A . <br />GL Title AJ2~a/, be✓head rnrr H44 - r(~ <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/Finence YELLOW/PW_Administration. File `PINK/Division File ; GOLDENROD/Pro)ect Manager July 2006 <br />