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• 0 <br />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 />q (541) 682-4800 <br />Service ID: ©D~ 1 SID V-/PB /GL JC / JE (541) 682-4882 FAX <br />www.eugene-or.gov/parks <br />Project Title: NO>~Ps D~ 1r~ ~v~c~~ P~iZ v T v~ YaS i y2 citS CLIns~rnk <br />(location and work description) <br /><1roiect Manag~ontact/Private Engineer: Zvi 41 <br />PROJECT SCOPE: <br />Paving: (widths) Bike lanes/paths: <br />(Width) <br />Concrete walks: Setback/Curbside <br />engi (wift) <br />Wastewater <br />Stormwater <br />Landscaping <br />Signal Street lights }}R--OW required <br />New building construction Planning, Other 4000 ~~~+Ace~(I4emodel _ <br />FUNDING SOURCES: <br />City Assessments Private Other Department <br />Account Code r~ <br />S~ State / Count if FAA /b b fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />APPROVED:! <br />Project Mana <br />er: <br />Date: $ I ~DCI <br />g <br />Section Manager: <br />Date: <br />Financial Analyst: <br />su,w <br />Date: B1 / `110 9 <br />Division Manager: <br />Date: ~?r 7/ <br />FOR USE BY ADMINISTRATION ONLY / <br />Capital Project No. ACK J,31- n'1332 - l0'Jt~ICX~~gO6'A16~2> <br />GL Title <br />Date: <br />Assigned by: r& or <br />Accounting by: Date: <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 WHITE/Finance YELLOW/PW Administration File PINK/Division File GOLDENROD/Project Manager July 2006 <br />