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0 <br />PROJECT AUTHORIZATION FORM <br />Public Works <br />Maintenance & <br />Parks and Open Space <br />Service ID: <br />Project Title: <br />(location and work description) <br />SID ZP13 ✓ GL JC JE <br />City of Eugene <br />1820 Roosevelt Boulevard <br />Eugene, Oregon 97402 <br />(541) 682-4800 <br />(541) 682-4882 FAX <br />www.eugene-or.gov/parks <br />Project Manager/Contact/Private Engineer: <br />PROJECT SCOPE: <br />Paving: Bike lanes/paths: <br />wits wit <br />Concrete walks: Setback/Curbside <br />t <br />engffi7 <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, Other VISj'(}~_ Remodel <br />APPROVED: <br />Project Manager: <br />Section Manager: <br />Financial Analyst: <br />Division Manager: <br />• Date: <br />I I • r7 •O 7 <br />Date: <br />I - 5 •O 7 <br />Date: <br />/ice/ 07 <br />Date: <br />7/D <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 2006 <br />FUNDING SOURCES: <br />City f?)~2_ ~P Assessments Private Other Department <br />Account Code <br />Fed / State / Count / FAA fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />