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PROJECT AUTHORIZATION FORM <br />Public Works <br />Maintenance & <br />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: 5o(\1 00,cc Cyw.m I �acl� L��eIrI�V►�✓lf <br />(location and work description) <br />Project Manager/Contact/Private Engineer: <br />PROJECT SCOPE: <br />Paving: <br />wits <br />Concrete walks: <br />engt <br />Wastewater <br />Signal <br />New building construction <br />Stormwater _ <br />Street lights <br />Planning, Other <br />Bike lanes /paths: <br />Setback/Curbside (wiarn) <br />Landscaping <br />ROW required <br />Remodel <br />APPROVED: <br />Project Manager: <br />Section Manager: <br />Financial Analyst: <br />Division Manager: <br />Date: <br />Date: <br />Date: <br />Date: 2Z <br />Capital Project <br />GL Title <br />FOR USE BY ADMINISTRATION ONLY <br />ACK <br />Assigned by: Date: <br />Accounting by: Date: <br />ATTACHMENTS: <br />• Budget Estimate <br />• SDC Budget Worksheet <br />• City Engineer's Initiating Order <br />• Request for Scoping Meeting <br />PWM/POS 100 WHITE/Finance <br />❑ Developer Agreement ❑ Engineer's Report on Improvement Petition <br />❑ Engineering Agreement ❑ Engineering Service Work Request <br />❑ Public Improvement Permit Application ❑ Map <br />YELLOW /PW Administration File PINK/Division File GOLDENROD /Project Manager July 2006 <br />FUNDING SOURCES: <br />City Assessments Private Other Department <br />Acco Code - <br />Fed / State / Count / FAA ( %, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />