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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) 82-4882 FAX <br />Service ID: 10001-7 SID ~ PB V GL JC JE a e-or.gov/Pafks <br />Project Title: 1dOP0 Me loci 90 AM, RA w ~Q <br />notation and wwk dmeri an) t - , A ' Zo I 0 05,q 03 <br />roject anag Contact/Private Engineer: L1At,+tNi tt0 ~1 <br />PROJECT SCOPE: <br />I <br />Paving: Bike lanes/paths: <br />wi <br />Concrete walks: Setback/Curbside <br />n <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, Other ky,64A UA6L6 = gpmodel <br />APPROVED: <br />Project Manager. Date: - /0I <br />Section Manager:` W Date: <br />Financial Analyst: Date: I ~t <br />Division Manager: Date: 7 <br />6VVJA 1101 U-1 FOR USE BY ADMINISTRATION ONLY j <br />Capital Project No. / `l ~fS`2 SIe ACK 53 I- 933 lQ ^,cac ao A9 2 , nW? <br />GL Title i <br />Assigned by. Date: <br />Accounting by: Date: <br />ATTACHMENTS- <br />0 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 WHITE/Finance YELLOW/PW Administration File PINK/Division File GOLDENROD/P' ect Manager July 2006 <br />i <br />FUNDING SOURCES: <br />City'Fu%l 52 Assessments Private Other Department <br />Account Code <br />a State / Count / FAA (e 7, 3M V i Est 0h 'R 160 fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRI TION: <br />