" PROJECT AUTHORIZATION FORM E"g'"eer'"g <br />Public Works <br />~, City of Eugene <br />244 E. Broadway <br />' Eugene, OR 97401 <br />Service ID: ~ ~ ~ ~ SID ~ PB ~GL ~ JC ~JE ~~ „~5~ ) 682-5560 <br />Project title: ~r1~ 1~~ f~-- t~-~ ~~'~G~ ~t~.~u`~ ~ro dJs ~ <br />(/ocation and woik desc~iptionJ <br />Project manager / contact / private engineer: ~'~ /" ~ l ~'i/ t vV~ <br />PROJECT SCOPE: <br />Paving: ~ ~ ~°~~ ~ ~ '~~ i e nes / paths: <br />-.-~.~ (w~drns~ ~widrr,~ <br />Concrete alks: Setback / Curbside <br />(/engthl (wid/hJ <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOU ES: <br />City ~_~~`~R~Assessments Private <br />Fed / State / County / FAA <br />Other department <br />Account code - <br />( %, fixed) <br />APPROVED: <br />Project Manager "' Date ~ ~ ~~ <br />Principal Engineer a Date `t~ <br />Facilities Manager Date _ <br />City Engineer Date__~ l ~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~~ ~ ~~ ACK ~ ~~' ~3~~` ~~~~~f ~j~'-°' /~~ <br />GL Title <br />Assigned by <br />Accounting by <br />Date ~~~~ <br />Date <br />ATJ~CHMENTS: <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 />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />