:.....,. _,. <br />~.~_ ___ _ <br />. ~~~ .~ <br />PROJECT AUTHORIZATION FORM E"g'"eer'"g <br />PubliC Works <br />. . ' City of Eugene <br />244 E. Broadway <br />/~ /-~ ~ ~ ~ ~ ~ (541) 68 O ~0401 <br />Service ID: "i ~~ ~C~° SID= PB _ GL _ JC JE ~ <br />Project title: e t ~ ~~..°C-..l rl ~f~„ ~~(„~ `~'~,y` ~~ `~, -~~, ~ <br />(/ocahon a~ »nr/r descnphqnJ . <br />Project manager / contact / private engineer: <br />" PROJECT SCOPE: ~ <br />Paving: ~- ~ Bike lanes / paths: <br />(wrdrizs) > (~yhJ <br />Concrete walks: ~ Setback / Curbside - ~~<~~ <br />fie~s~l fwidrn~ <br />Wastewater Sformwater ~~sS Landscaping <br />Signal IUf Street lights '~ ROW required <br />New building consfruction_ ~~~ Planning, other Remodel <br />FUNDING SOURCES: <br />City Assessments Private ~N Other department <br />Accountcode _ <br />Fed / State / County / FAA <br />' COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />APPROVED: <br />Project Manager <br />Principal EngineE <br />Facilities Manage <br />City Engine~ <br />Date ~ ~ Q~ <br />Date <br />Date <br />Date 2~._€ U1~ <br />ATTACHMENTS: - <br />^ Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />^ SDC Budget Worksheet f~'Engineering Agreement ^ Engineering Service Work Request <br />^ City Engineer's Initiating Order f~,Public Improvement Permit Applicafion ^ Map <br />^ Request for Scoping Meeting ~ <br />,~ ~ ~ ~~ <br />