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r Public Works <br /> PROJECT AUTHORIZATION FORM Maintenanceano <br /> Paths 8 Open Space Divisions <br /> City of Eugene <br /> 1820 Roosevelt Blvd <br /> Eugene. Oregon 97402 <br /> (541) 682 -4800 <br /> (541)682 -4882 FAX <br /> www Auaene -or 004 <br /> Service ID: 100016 SID PB GL JC JE <br /> Project Title: BLM- Native Plant Procurement FY11 -14 <br /> (location and work description) <br /> Project Manager /Contact /Private Engineer: Diane Steeck <br /> FUNDING SOURCES: <br /> City Assessments Private Other Department <br /> Account Code 531 -9335 <br /> Fed /State /Count /FAA Federal 100% (%,FIXED) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> Coordinate, plan, and implement native plant program for the West Eugene Wetland Partners. <br /> • <br /> APPROVED: <br /> Project Manager: / 104. M: IEZZA21 Date: ?C /26 /e70 <br /> Section Manager: ; Date: j a- aa (� <br /> Financial Analyst: ,' i_ : !o'wor ' Date: <br /> is -3-j0 <br /> Division Manager: 11111 Date: <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK <br /> GL Title <br /> Assigned by: Date: <br /> Accounting by: Date: <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks Setback /Curbside <br /> pengtnsl maw) <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights Row required <br /> New building construction Planning, Other Remodel <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 ❑ Ma <br /> El Request for Scoping Meeting Map <br /> PWM /POS 100 Revised: Aug 2010 <br /> Cwt° <br />