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- I Public Works <br />t/Z9 u- t - Maintenance & <br />PROJECT AUTHORIZATION FORM _ Parks and Open Space <br />City of Eugene <br />1820 Roosevelt Boulevard <br />VW W Eugene, Oregon 97402 <br />_y V (541) 682-4800 <br />(541) 682-4882 FAX <br />Service ID: SID PB GL JC JE www.eugene-or.gov/parks <br />Project Title: /ww 6mus n- 011)7 -f L'm <br />(location and work description) <br />Project Manager/Contact/Private Engineer: (Al -")L 11 rJ (A)Fj'~, z <br />PROJECT SCOPE: <br />Paving: Bike lanes/paths: <br />Concrete walks: (widths) Setback/Curbside (width) <br />T- (W engt wi <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, Other(-) ,%ll~ l ml Remodel <br />APPROVED: <br />R <br />Project Manager/ Z(`Y ) -L2 r..) )T 5 5~ <br />Section Manager: <br />Financial Analyst: <br />Division Manager: <br />Date: ►fT''I <br />Date: 1:0 <br />I , <br />Date: /4,2 `l ~42 - <br />Date: <br />FOR USE BY ADMINISTRATION <br />Capital, Project T( Is 47U i ACK <br />GL Title 1.~ <br />fined by; Date: <br />_ r <br />unting 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"Engineers Initiating Order ❑ Public Improvement Permit' Application ❑ Map <br />❑ Request for,S'coping Meeting <br />ONLY <br />PWM/POS 100 WHITE/Finance YELLOW/PW Administration File PINK/Division File GOLDENROD/Project Manager July 2006 <br />FUNDING SOURCES: <br />City, f~ ~''-D Assessments Private Other Department <br />° 6 / 7 35 - 7 k' Y-2< k ~`ar 7 a , l.Cw a <br />Account Code 1/ 3 3 J~ <br />Fed / State / Count / FAA fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />