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C 4 0 <br />Public Works <br />Maintenance & <br />PROJECT AUTHORIZATION FORM Parks and Open Space <br />City of Eugene <br />1820 Roosevelt Boulevard <br />U O cm b Eugene, Oregon 97402 <br />1 (541) 682-4800 <br />(541) 682-4882 FAX <br />Service ID: SID PB - GL JC JE `[ll www.eugene-or.gov/parks <br />Project Title: % M 5 f k S2. 3 <br />(location and work desc(ption) C5 (,.-it e A 6 V\ C'A Vt t <br />roject Manager Contact/Private Engineer: -TRt-y ~~IyLfi 1 <br />PROJECT SCOPE: <br />Paving: Bike lanes/paths: <br />(Kidths) <br />walks: eng Setback/Curbside <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />-TI New. building construction Planning, Other We M i j l ~ ir► Remodel <br />FUNDING SOURCES: <br />City (D / Assessments. Private Other Department <br />Account Code q 1 -7 Q,,2 Fed / State / Count / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENT <br />e Uc- <br />fixed) <br />WORK DESfRIPTION: <br />-l 1 . • - 4 Ll - &A <br />APPROVED: / <br />Project Manager-:-- <br />Date: ZC)G' <br />Section Manager: f"' • Date: -0 <br />Financial Analyst: Date: Ci } t, i-; r <br />Division Manager: Date: 7-08 <br />qqJ <br />~l <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. q S ~ _ ACK 2 35-P =QX- <br />GL Title <br />Assigned <br />Accounting by: <br />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 />