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PROJECT AUTHORIZATION FORM <br />Public Works <br />P.taint antl <br />Parks 8. flpdr: Space DlOsions <br />Oty of Eugene <br />1826 RooseveftBWd <br />Eugene.^vfegong7402 <br />1541 682 -4800 <br />( 682 -4"2 FAX <br />a e oan._Oraov <br />Service ID: 100026 SID PB GL JC JE <br />AN REST. <br />Project Title: **'C POS BLM Native Plant 2012 <br />(location and work description) <br />Project Manager /Contact /Private Engineer: Trevor Taylor <br />FUNDING SOURCES: <br />City Assessments Private Other Departmen <br />Account Code 531 - 9335 -43xxx <br />APPROVED: <br />Project Manager: !� Date: <br />Section Manager: Date: l Z. <br />Financial Analyst: Date: q i - z <br />Division Manager: Date: _OR —/z— A e <br />Capital Project No. <br />GL Title <br />Assigned by: <br />Accounting by: <br />FOR USE BY ADMINISTRATION ONLY <br />925422 ACK 531 - 9335 6xxxx- <br />POS BLM Native Plant 2012 <br />Date: <br />Date: <br />PROJECT SCOPE: <br />Paving: Bike lanes /paths: <br />(widths) <br />Concrete walks Setback /Curbside <br />e g s wi <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 ❑ Map <br />I❑ Request for Scoping Meeting <br />PWM /POS 100 Revised: AuR 2010 <br />