~~ ~' <br />Engineering <br />PROJECT AUTHORIZATION FORM ~~'~ ~ <br />Public Works <br />, City of Eugene <br />~i 244 E. Broadway <br />~f~ 11 Eugene, OR 97401 <br />; i j ' ~ ~ ~ ~ ~ ~~' ~ (~~ (541) 682-5560 <br />Service ID: ~~~`~~~ SID PB _ GL JC _ JE ~~,~ <br />~ y -1 ~ ~ 6~G'd,G ~ ~.~ ~ ~Ga'E ~-" ~ C)Wi/ ~ f? ~ , (~ .• <br />Project title: ~ ~ ~ ~~~ ~`~~- <br />(/ocation and work desciiptionJ <br />Project manager / contact / private engineer: ~~~V1 ii~~~°' ~~`~ ~~'~ X s~~- <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: <br />(/englhJ <br />Wastewater <br />Signal <br />Bike lanes / paths: <br />(widrhJ <br />Setback / Curbside <br />(widlhJ ~^~~ " <br />Stormwater ~~G'hJ~~_ ~t' 'Y _ Landscaping <br />~~~~~,-~ ( <br />Street lights ROW required <br />New building construction Planning, other <br />FUNDING SOURCES: <br />City f~_ Assessments Private <br />Fed / State / County / FAA (%, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />1 ~~ ~~`~~e w,e~~ ~~~{-in~.. c~e~-~ 5~ruc.i~r,r~ I~c~~ecl c~ Yr ~s~. v~ o'°~n ~ i`GG~~. ~.,i'y~ <br />~. ~~"L~C i~ i`~"1C~~"' ~i'YliiC'-~Z.S~ r~ ~e,.°-P.~ '' ~b~ •-i'~~_ IV~ i~~~.6~ i~.. i v- /' ~ir°7 C~e? i~-~.~1 Q>-, i~ i~l'~ra <br />~3Y <br />_- <br />APPROVED: <br />~ <br />Project Manager Date rP ~~4 (% -°7 <br />. <br />Principal Engineer Date ~'°' ~~ "'o ~ <br />Facilities Manager Date <br />City Engineer ~~~~~ ' ~ Date ~ ~ ~ "~ ._ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. -~~~~~~ ACK ~~~ ~~~ ~~~f ~~~~~~~a <br />GL Title ~~~ ~~~\ ~~ P _ ~~ 1" ~1 ~ t'~ I~ ~~~ ' r' <br />Assigned <br />Accounting by <br />Remodel <br />Other department <br />Account code - <br />Date ~ ~" ~ <br />Date <br />ATTACHM ENTS: <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 />~ <br />c~ <br />i <br />~- <br />i <br />0 <br />~, <br />~; <br />