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PROJECT AUTHORIZATION FORM <br />Service ID: too SID <br />Project Title: <br />/lnration and work dascrintion) <br />Public Works. <br />Maintenance & <br />Parks and Open Space <br />Project Manager/Contact/Private Engineer: J'~F <br />PROJECT SCOPE: Paving: Bike lanes/paths: <br />(widths) I (-dth) <br />Concrete walks: Setback/Curbside, <br />Wastewater Stormwater W I Landscaping <br />en <br />Signal Street lights ROW iequired <br />New building construction Planning, Other Remodel <br />FUNDING SOURCES: 131 <br />City `4 Assessments Private Other Department <br />Account Code 31'1 _ Fr6 w- 9d5 O 12. <br />i <br />Fed / State / Count / FAA fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />`sty kt,<, a. <br />Y <br />APPROVED: <br />Project Manager: Date*. Section Manager: } Date: 1 <br />Financial Analyst: rah, Date: ! ~gg'lo.( <br />Division Manager. <br />!tr~ - Date: I L- 7-- ® / <br />l FOR USE BY ADMINISTRATION ONLYi <br />1 5,5 ACK <br />Capital Project No. <br />i <br />GL Title <br />Assigned by: Date: <br />Accounting by:- Date: <br />ATTACHMENTS: <br />~(j S rudget Estimate ❑ Developer Agreement ❑ Engin <br />DC Budget Worksheet ❑ Engineering Agreement ❑ Engin <br />❑ City Engineer's Initiating Order ❑ Public Improvement Permit Application O~ap <br />❑ Request for Scoping Meeting <br />PWWPOS 100 WHITE/Finance YELLOW/PW Administration File PINK/Division File GOLDI <br />Report on Improvement Petition <br />I Service Work Request <br />Manager July 2006 <br />City of Eugene <br />! 1820 Roosevelt Boulevard <br />Eugene, Oregon 97402 . <br />(541) 682-4800 <br />(541) 682-4882 FAX <br />PB GL JC JE www.eugene-or.gov/parks <br />