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 />Service I D: (541) 682 -4882 FAX <br />_ SID PB GL JC JE www.eugene- or.gov /parks <br />Project Title: b e . P&► its �O L L G' _ ��i sr�'1 � pL'' ✓'rn',4l yt1 <br />(location and woric description) <br />Project Manager ontact/Private Engineer: iZ' Yt_.. D YZ <br />PROJECT SCOPE: <br />Paving: Bike lanes /paths: <br />(widths) <br />Concrete walks: Setback/Curbside <br />(length) w <br />Wastewater Stormwater Landscaping <br />Signal Street lights � p ROW required <br />New building construction Planning, Other p� r► i � t oncl.S Remodel <br />FUNDING SOURCES: <br />City &r. (061 Assessments <br />Account Code <br />Private Other Department <br />Fed / State / Count / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />APPROVED: <br />Project Manager: Date: <br />ati� b <br />Section Manager: Date. 3 o�- <br />Financial Analyst: ► ` Date: 3�:2 - z- 17 <br />Division Manager: Date: 3 "2-Z — zz <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ACK <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 />• 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 />