• 5u~~- <br />PROJECT AUTHORIZATION FORM <br />r <br />Service ID: I c~~ SID Z1P13 <br />Project Title: cow-riiw- 5t-- <br />Public Works <br />1 Maintenance & <br />i/ Parks and Open Space <br />U <br />e'19, <br />L <br />JC JE ` ~A\ <br />City of Eugene <br />1820 Roosevelt Boulevard <br />Eugene, Oregon 97402 <br />J541) 682-4800 <br />(541) 682-4882 FAX <br />0vw,eWdhe-or.gov/parks <br />(location and work description) <br />Project Manager/Contact/Private Engineer: <br />PROJECT SCOPE: <br />Paving: A-- Bike lanes/paths: <br />Concrete walks: T~orns) <br />Setback/Curbside <br />l <br />Rengm) <br />Wastewater Stormwater Landscaping L~ <br />Signal Street lights ROW required <br />New building construction Planning, Other Remodel <br />FUNro G SOU CES: S~ W f w- mr"tol , postiod /,l~Ge.~ tOk6u~t ~ <br />City Assessments Private Other Department <br />Account Code 3 3 ~(JO / <br />Fed / State / Count / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK <br />61, <br />APPROVED: <br />Project Ma G~ Date:` <br />Jor <br />Section Manager: Date: i Z- 0 <br />Financial Analyst: <br />Date: ---~1 WG r, <br />Division Manager: <br />Date: <br />FOR USE BY ADMINISTRATION. ONLY <br />Capital Project No. qa 5 Z ACK _a3~ 95-31 I xxj~>►~ <br />GL Title pb5 S~LfrC1~i~ J rt -U. r -P n A--P A•-- <br />Assigned by~'~~ Date: ± U <br />Accounting by: Date: <br />t. ATTACHMENTS: <br />l'gudget Estimate ❑ Developer Agreement ❑ Engineer's Report on Improvement Petition <br />SDC Budget Worksheet Q Engineering Agreement ❑ -Emineeringl service work, Request <br />❑ City Engineer's Initiating Order ❑ Public Improvement Permit Application ln <br />0 Request for'8coping Meeting G,~ Oj1~ J` <br />PWWPOS 100 WHITE/Finance YELLOW/PW Administration File PINK/Division File GOLDENROD/Project Manager July 2006 <br />op <br />fixed) <br />