~ <br />~ ~~ <br />PROJECT AUTHORIZATION FORM / ' ~ Engineering <br />Public Works <br />City of Eugene <br />{ 244 E. Broadway <br />~' --~`~ /~ / Eugene, OR 97401 <br />~~ j~ a/ ~/ ;/) ~ (541) 682-5560 <br />Service ID: SID l~'PB GL _ JC _ JE ~~ <br />~ /i ~ <br />Project titie: G r~i' L~ <br />(/oca " n~anAd /woik descriptionJ <br />/~V <br />j ~, <br />Project manager / conta / private engineer: <br />PROJECT SCOPE: / <br />Paving: ~~ Bike lanes / paths: <br />~w~drr,s~ ~w~dra~ <br />Concrete walks: Setback / Curbside <br />(/englhJ (widlhJ <br />Wastewater Stormwater Landscaping <br />Signal Street lights 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_ <br />Principal Engineer <br />Facilities Manager <br />City Engineer ~ <br />Date ~~ "`6'~-~~ <br />Date - ~! ~ ~ <br />Date~ <br />Date ~ / ~'r/°7 <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. c__)~ [ ~~Y ~ ACK ~:~ ~ ~~°~~ (.-~~~-~ ~~ ~~Z ~ / <br />GL Title <br />ATTACHMENTS: <br />;~ ,^ Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />'~<- ^ SDC Budget Worksheet ~gineering Agreement ^ Engineering Service Work Request <br />^ City Engineer's Initiating Order ublic Improvement Permit Application ^ Map <br />^ Request for Scoping Meeting ~~ f~, ~~ ~ <br />ENG 415 WHITE / Finance YELLOW / Administration File ~ K/ Engineering File GOLDENROD / Project Manager /ULY2004 <br />0 <br />~~ <br />i <br />i <br />~ <br />~ <br />~ <br />~r <br />c1 <br />~ <br />Accounting by Date <br />