. ~ <br />~ . ~ ~ <br />PROJECT AUTHORIZATION FORM ~ Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />~f Eugene, OR 97401 <br />~ ~ ~ ~ (541) 682-5560~ <br />Service ID:_ SID_ PB _ GL _ JC _ JE ~~ <br />Project title: ~~ <br />~~` ` ~~~- ~- <br />(/ocalion and work descriptionJ ~~~ <br />Project manager / co act / private engineer: <br />Concrete waiks: <br />PROJECT SCOPE: <br />Paving: ~~~ ~ <br />(wrdlhsJ Bike lanes / paths: <br />/widlhl <br />~ (/englhJ <br />Wastewater . <br />Stormwater <br />(widthJ <br />Setback / Curbside <br />Landscapina <br />r <br />Signal Street lights___/~,~~ ROW requi <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_ <br />Principal Engineer <br />Facilities Manager <br />City Engineer.~ <br />Date `a l ~~ `~ <br />Date ~ ~'1/ a7 <br />Date ___ <br />Date J ~~ u~7 <br />0 <br />c>~ <br />i <br />0 <br />v~ <br />cr <br />~ <br />~_. <br />v: <br />v.: <br />.~.~. <br />~ <br />ATTACHMENTS: <br />._ <br />^ Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />E'a--- ^ SDC Budget Worksheet C9Y~ ineering Agreement ^ Engineering Service Work Request <br />^ City Engineer's Initiating Order C~ublic Improvement Permit Application ^ Map <br />^ Request for Scoping Meeting ~`~ ~~~ g o <br />~ ~~ <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />