/ <br />/... ....... _...~1~ ~ <br />PRC?JECT AUTHORIZATION FORM <br />Assessments <br />PROJECT SCOPE: <br />a ~ <br />Paving: ~ ~ ~ Bike lanes / paths: <br />(wrdlhsJ (widlhJ <br />Concrete walks: tbac Curbside <br />( rh~ <br />Wastewater <br />Signal <br />~9 (wroYhJ ~ ~ <br />Stormwater /~ Landscaping_ <br />Street lights ~~~ ROW required <br />New building construction Planning, other <br />Remodel <br />FUNDING SOURCES: <br />City <br />Fed / State / County / FAA <br />Private <br />Engineering <br />Public Works <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />APPROVED: o <br />Project Manager- ~-' Date <br />Principal Engineer Date ~0 ~ 4~ b~- <br />Facilities Manager~~~ n 1,/i E Date <br />City Engineer <br />Other department <br />Account code _ <br />Date ~ ' ~~~~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ,~)7 ~`~~-!~ ACK ~ 3 I-~ c~~~ °` (,Q '~7~'x,°'t`'i d~~~r~oZ f <br />GL Title a~ ~P~c.(1~C S~.~n ~ 1 V1s-~~r,,, <br />Accounting by <br />Assigned by <br />Date _ ~~~~ <br />Date <br />ATTACHMENTS: <br />~ `^ Budget Estimate ^ Develo er A reement <br />~ p J ^ 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 />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /ULY2004 <br />