,_ , , . <br />~~ ~ ~ ~ ~ ~ ~ ~ ~~ - ~:> ~~ - ~~ ~ ~ -~ ~ . <br />' PROJECT AU~HORIZATION FORM <br />Engineering <br />Public Works <br />t <br />Service ID: ~ ~~~ ~ 9 ~ ~ SID PB ~ GL ~ JC ~JE '~~~' <br />Project title: <br />Project manager / contact / private engineer: <br />. ,~ ~- . ~~.A, a <br />PROJECT SCOPE: <br />e / d <br />Paving: ~ ~ °~° ~~d ~ ~ ~ ~ Bike lanes / paths: <br />(wio7~sJ (widthJ <br />COIICI'0t2 WaIkS: ~athar.k / C:i inc~i~la <br />Wastewater <br />Signai <br />(/engthJ <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />(541)682-5560 <br />(widlh Q` <br />Stormwater ~~ Landscaping <br />Street lights _ 1 ~ _ ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />City Assessments <br />Private_~ Other department <br />Account code - <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />APPROVED: • <br />Project Manager Date ~l U7 <br />Principal Engineer Date _~~ _ ~~' <br /> <br />Facilities Manager <br />Cit <br />En <br />in ~ <br />Date - __ <br />~ ~C <br />y <br />g <br />eer ~ <br />/ Date <br />-- <br />__ <br />FOR <br />USE BY ADMINISTRATION <br />ONLY <br />Capital Project No. ~ 7~~ L~ ACK ~~ ~ "" ~'^~ ~ °' O~c~"}~ _~ ~~~~~ <br />GL Title ~_~~~~e ~i'~'~~ ' <br />Assigned by <br />Accounting by <br />Date d ~ <br />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 />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />