Public Works <br />- Maintenance & . <br />PROJECT-AUTRO:RIZATION" FORM Parks and Open Space <br />City of Eugene <br />> 1,820 Roosevelt Boulevard <br />gene, Oregon 97402, . <br />(541) 68274800 <br />(541) <br />~E 682-4882 FAX', <br />Service ID: SID PB GL JC www <br />i .eugene-or.gov/parks <br />Project Title: f_t. tJi - N rtj C= ' ,,h, 4l4 ;,it, P, PA <br />iA <br />(location and work description) <br />Project Manage /Contact/Private Engineer: 1 / L f z= P. t r'1 r.1 r~ t" <br />PROJECT SCOPE <br />Paving: ' (widths) Bike lanes/paths: <br />, <br />Concrete walks. <br />Setback/Curbside wi t <br />• en9t _ (width) <br />i <br />Wastewater ` Stormwater ` Landscaping <br />Signal Street lights ' ROW required <br />NOW building construction ` Planning, Otherln3~/t itt%ti~ Abltntih&nfRemodel <br />FUNDING SOURCES. <br />City Assessments Private Other Department <br />. <br />Account Code <br />Fe / State / Count/ FAA i flf) ° <br />(%;Jix d) <br />COMMENTS / SPECIAL.PROJECT INFO.'/ INTERDEPARTMENTAL- WORK DESCRIPTION: <br />;:dta~rttlt' G tc'. ,e,firx~3ir"rf fits at~,'PwP <br />, ll <br />p.,, its ,+'1 .r r't• I,fr l t f7 tl ~l JP <br />r~.•#' t°~~f f'"1 ~°':~r'i t:,~ f''~1 t.'i v~ c I.:.. 1--j i c.. :rr; ' ~-'s^ - <br />rr -1- .~e : l w <br />• r~ <br />CA J, Al rs <br />.+'i .`P <br />APPROVED <br />; <br />• . Project Manager.. D <br />( at@:'Vi'R cr <br />e <br />r r t r <br />~ <br />Section Manager. Li Date:" <br />a nancial.Analyst Date: <br />Division Manager Date <br />1 ..q 9 e <br />\ <br />FOR USE BY ADMINISTRATION ONLY <br />'N <br />Capital Project No ' ^ ACK ` TnaC.~c`rk' <br />GL Title ` t <br />Assigned'by Date:I <br />' ` 1. <br />Accountmg bya 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 ;O . Map <br />Q Request for Scoping Meeting <br />PWWPOS 100 WHITE/Finance YELLOW/PW Administration 'File PINK/Division File . GOLDENROD/Project Manager July ?006 <br />