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Public Works <br /> PROJECT AUTHORIZATION FORM Pubr <br /> Maintenance and <br /> ParAs 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 /> /., /, �C .yw_w,gudene-or nog <br /> (7b6 <br /> Service ID: l 5d SID PB GL JC JE <br /> /65 icee 2epAocew•o4.4 <br /> Project Title: . . - -- - - - • t - t, - rWay dltd Parks <br /> (location and work description) <br /> Project Manager /Contact /Private Engineer: Richard Zucker <br /> FUNDING SOURCES: <br /> City Assessments Private Other Departmen EWEB <br /> Account Code <br /> Fed /State /Count /FAA 531— ( %,FIXED) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> In accordance with an intergovernmental agreement, EWEB pays the City of Eugene $100 for every City tree that <br /> EWEB removes at its request in order to comply with federal overhead power line clearance requirements. The <br /> funds are sent annually, usually in January or February of each calendar year, for trees removed during the <br /> previous calendar year. The funds are used to pay a contractor to purchase and plant replacement trees. <br /> APPROVED: <br /> Project Manager: I Date: 3/19/2013 <br /> Section Manager: Date: 3. , 1') <br /> Financial Analyst: aM t ` o , Date: 21113 <br /> Division Manager: �, . J ,,. • Date: 3 — 2f= /-3 <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK <br /> GL Title <br /> Assigned by: Date: <br /> Accounting by: Date: <br /> Qw-0A...(2 "oSi 531 -4335 Lk 34qb <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks Setback /Curbside <br /> (iengtns) (maul) <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 /> ❑ Request for Scoping Meeting <br /> PWM /POS 100 Revised: Aug 2010 <br />