~ <br />PROJECT AUTHORIZATION FORM Engineering <br />Public Works <br />~'y~ ity of Eugene <br />!J 244 E. Broadway <br />Eugene, OR 97401 <br />~L..~ R ~ ~ ~~p~ (541) 682-5560 <br />Service ID: , ~ SID ~e _ GL _ JC ~~ JE ~i <br />Project title: <br />and work desciiptionJ <br />/ private engineer: ~~~j ~ <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: _ <br />Wastewater <br />Signal <br />New building construction <br />FUNDING ~RCES: <br />City Assessments <br />Fed / State / County / FAA <br />MME~JTS / SPECI/~ PROJECT <br />Bike lanes / paths: <br />(widlhJ <br />Setback / Curbside <br />(wr h <br />Stormwater , Landscaping <br />_ Street lights <br />- Planning, other <br />Private _ <br />/ INTERD~PAFT~TMENTAL <br />~~U)5l~'I~l ,6~ <br />ROW required <br />Remodel <br />Other department <br />Account code <br />( %, flXed) <br />K DESCR~TION: ~ ~~~ <br />~'~vv~.; ~ S/17S , <br />APPROVED: <br />Project Manager s <br />Principal Engineer <br />Facilities Manager <br />City Enginee~ <br />Date ~ ~~ ~ <br />Date ' i ~ ~ <br />Date <br />Date i f 1~" ~6 <br />Accounting by <br />Date <br />ATTACHMENTS: <br />( ~] Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />- ~l 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 />(/engthJ <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /ULY2004 <br />