~ <br />, ~ „~-~~__" <br />PROJECT AUTHORIZATION FORM Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />Service ID:_ ~~+~0 ~ SID~` PB ~ GL JC ~ ~E _ ~541) 682-5560 <br />Project title: ~PP M ~K~~~ 1~S~~,m W 5th Av~e ~ ~ ~~'t~_~V`C <br />(/ocaiion and woik description) <br />Project manager / contact / private engineer: ~ Q-'~" {' R,~ r' f ~ U e. S <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br />(widlhsJ (widfhJ <br />Concrete walks: Setback / Curbside <br />(/engthJ (widlhJ <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />City ~C Assessments Private <br />Fed / State / County / FAA <br />COMMENTS / SPECIA~ PROJECT INFO. / INTERDEPARTME <br />_._. • - • _ ~ . <br />L WORK DE$CRIPTION: <br />I~k tr~ IC11-E 1 t`~ ~ <br />( %, fixed) <br />APPROVED: <br />Project Manager~ <br />Principal Engineer <br />Facilities Manager <br />City Engineer~ <br />Date - ~ ~f ~ <br />Date ~ "" ~ ~ ~ <br />Date <br />Date ~ ~ ' <br />~ <br />~ <br />~ <br />'~ <br />~ <br /> <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 />Other department <br />Accountcode - <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />