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Public Works <br />Maintenance & <br />PROJECT AUTHORIZATION FORM 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: �l SID PB GL JC JE www.eugene - or.gov /parks <br />Project Title: <br />(location and work description) <br />Project Manager /Contact/Private Engineer: g.leu c i 1 h r\ «/ <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: wits <br />engt <br />Wastewater <br />Signal <br />New building construction <br />Stormwater <br />Street lights _ <br />Planning, Other <br />Bike lanes /paths: <br />( widt h) <br />Setback/Curbside <br />Landscaping <br />ROW required <br />Remodel <br />FUNDING SOURCES: <br />City Assessments Private Other Department <br />Account Code 311 -Q33S - - -�1 3S - `l F15Qto � � � Iy uLtiPr " <br />Fed / State / Count / FAA ( %, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />APPROVED: <br />Project Manager: <br />Section Manager: <br />Financial Analyst: <br />Division Manager: <br />Date: <br />Date: 1 -2 - 8 - 1 1 <br />Date: ��2_?d Z- <br />Date: c b �j d <br />Capital Project No. <br />GL Title <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 />PWWPOS 100 WHITE/Finance <br />FOR USE BY ADMINISTRATION ONLY <br />ACK <br />• Developer Agreement <br />• Engineering Agreement <br />• Public Improvement Permit Application <br />• Engineer's Report on Improvement Petition <br />• Engineering Service Work Request <br />• Map <br />YELLOW /PW Administration File PINK/Division File GOLDENROD /Project Manager July 2006 <br />