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ALI <br />Public Works <br />Maintenance & <br />PROJECT AUTHORIZATION FORM Parks and Open Space <br />City of Eugene <br />1820 Roosevelt Boulevard <br />Eugene, Oregon 97402 <br />(541) 682-4800 <br />/ (541) 682-4882 FAX <br />Service ID: SID PB GL JC. ✓ JE www.eugene-or.gov/parks <br />Project Title:!-') - {4 e, taur~ F - rzc ~4 <br />(location and work description) <br />t: Project Manager/Pontact/Private Engineer: Et" i c_ Wo I'd <br />PROJECT SCOPE: <br />Paving: BikeJanes/paths: <br />wits wit <br />Concrete walks: Setback/Curbside <br />engt <br />Wastewater Stormwater Landscaping <br />Signal Street lights /I,, ROW required <br />New building construction Planning, Other _144 !d ! { crpemodel <br />FUNDING SOURCES: <br />City 'twi r{ !';-'7I <br />Assessments Private Other Department <br />Account Code <br />Fed /'State % Count / FAA V 1 Gl,. U D Fu-) <br />COMMENTS/ SPECIAL PROJECT INFO./ INTERDEPARTMENTAL WORK <br />i. <br />F <br />r <br />fixed) <br />IPTION: <br />f i <br />3,t C f (1 t (".J <br />1 1 J.. r~M r f <br />APPROVED: <br />I <br />Project Manager: <br />Date- k_a <br />Section Manager: <br />Date:. <br />~ <br />Financial Analy <br />Date: <br />Division Manager:_ <br />Date: <br />/ <br />- <br />or- <br />y <br />. <br />I <br />- <br />- <br />5ZI FOR USE BY ADMINISTRAjTION ONLY <br />Capital Project No. ACK,l q.;T:~~ f fr <br />1 <br />GL Title <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/Finance YELLOW/PW Administration File PINK/Division File GOLDENROD/Project Manager July 2006 <br />