• f <br />PROJECT AUTHORIZATION FORM <br />Public Works <br />Maintenance & <br />Parks and Onen Snare <br />City of Eugene <br />1820 Roosevelt Boulevard <br />f✓ <br />Eugene, Oregon 97402 <br />- <br />rvi <br />S <br />ID <br />SID <br />/ <br />PB - <br /> <br />( <br />' <br />(541) 682-4800 <br />(541) 682-4882 FAX <br />e <br />ce <br />: <br />GL <br />JC <br />JE <br />www.eugene-or.gov/parks <br />Project Title: <br />t <br />F <br />(location and work description) <br />roject Manager%Contact/Private Engineer: <br /> <br />F <br />PROJECT SCOPE: <br />Paving: <br />Bike lanes/paths: <br />Concrete walks: en <br />1g12- <br />(width) <br />bside <br />Wastewater <br />Signal k. t r <br />New building construction <br />- - <br />d <br />Sma <br />FUNDING SOURCES: <br />.`_3, <br />City Asse rtment <br />Account Code t} <br />Feat/ State / Count / FAA.,. <br />fixed) <br />COMMENTS /SPECIAL PROJ j <br />APPROVED: <br />Project Manager: . <br />Section Manager: <br />Financial Analyst <br />Division Manager: <br />6 <br />Date: Date: <br />FOR USE BY ADMINISTRATION ONLY ( 1 <br />Capital Project No. q LA Lt 7__ ACK :f~,~2,( <br />GL Title <br />Assigned by:' Date:;) <br />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 />PWWPOS 100 WHITE/Finance YELLOW/PW Administration File PINK/Division File GOLDENROD/Project Manager July 2006 <br />( <br />-7 <br />r <br />J <br />