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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: 1!4 1 `7 C9&qW 2-G?Age=- <br />(1oca6on and work ascription) <br />Project Manager/Contact/Private Engineer: l <br />PROJECT SCOPE: <br />Paving: A-- Bike lanes/paths: <br />Concrete walks: ~ (Wain s Setback/Curbside (width) <br />eng fib- Kn <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, Other Ar, Remodel <br />FUN NG SOU CES: Fr- , 7d ~1415"C1 F~:at' ~ <br />City 0 k- MA-1 ~Assessments Private Other Denartment <br />Account Code 3 - ~dS'-O~ . <br />Fed / State / Count / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK <br />fixed) <br />O <br />14) <br />APPROVED: <br />Project Ma T" G~ Date: A-16 Id <br />Section Manager: Date: Z- <br />Financial Analyst: <br />Date: 21 1 <br />Division Manager: Dater Z /~-C <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ACK <br />GL Title <br />Assigned by: Date: <br />Accounting by: Date: <br />ATTACHMENTS: <br />'Kffudget Estimate <br />❑ SDC Budget Worksheet <br />❑ City Engineer's Initiating Order <br />❑ Request for Scoping Meeting <br />PWWPOS 100 WHITE/Finance <br />❑ Developer Agreement ❑ Engineer's Report on Improvement Petition <br />❑ Engineering Agreement ❑gineering Service Work Request <br />❑ Public Improvement Permit Application ] Ma~aih r <br />YELLOW/PW Administration File PINK/Division File GOLDENROD/Project Manager July 2006 <br />)%N~ <br />