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PROJECT AUTHORIZATION FORM <br />Landscaping _ <br />ROW required <br />Remodel <br />City of Eugene <br />1820 Roosevelt Boulevard <br />Eugene, Oregon 97402 <br />(541) 682-4800 <br />q (541) 682-4882 FAX <br />Service ID: _t I SID PB GL JC JE www.eugene-or.gov/parks <br />Project Title: 67 ~ V!y(Tiv1S <br />(location and work description) <br />Project Manager/Contact/Private Engineer:, <br />PROJECT SCOPE: <br />Paving: Bike lanes/paths: <br />w~ ts <br />Concrete walks: Setback/Curbside (width) <br />engr (wdth) <br />Wastewater <br />Signal <br />New building construction <br />Stormwater <br />Street lights _ <br />Planning, O er <br />FUNDING SOURCES: <br />City f2:6 RODE) Assessments <br />Account Code <br />Fed / State / Count / FAA <br />fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />7-cotO 4b6 P - + 50, oot> <br />APPROVED: <br />Project Manag <br />Date: lv`/ <br />Section Manager: <br />Date: <br />Financial Analyst: <br />Date: 119 <br />Division Manager. <br />Date: 3 -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 <br />❑ SDC Budget Worksheet <br />❑ City Engineer's Initiating Order <br />❑ Request for Scoping Meeting <br />PWM/POS 100 WHITE/Finance <br />❑ Developer Agreement ❑ Engineer's Report on Improvement Petition <br />❑ Engineering Agreement ❑ Engineering Service Work Request <br />❑ Public Improvement Permit Application ❑ Map <br />YELLOW/PW Administration File PINK/Division File GOLDENROD/Project Manager July 2006 <br />Private <br />'T'3--K- vv~'-u)C - q i <br />Public Works <br />Maintenance & <br />Parks and Open Space <br />~artment <br />