~ ~,r <br /> ~ + ~ <br /> F ' ~ <br /> <br /> kt~~; , <br /> ~ Engineering <br /> F~F~OJECT AUTHORIZATION FORM Public Works <br /> I <br /> City of Eugene <br /> 244 E. Broadway I <br /> Eugene, OR 97401 ~ <br /> ? ? ~ ~ (541) 682-5560 ~ <br /> Service ID; SID t~'"PB GL ~ JC JE <br /> Mrof ect title: C <br /> //cca ' n~ <br /> ; <br /> ~ <br /> ork description) <br /> r~rgject manager / conta /private engineer: u,d~ , i <br /> i{ <br /> ;PROJECT SCOPE: / ~ <br /> Paving: ~'t/ Bike lanes /paths: I~ <br /> (widths) /width) <br /> I Concrete walks: Setback /Curbside <br /> ~ (/engthJ (widlhJ <br /> ' Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel - -w"`'' <br /> j FUNDING SOURCES: ~ <br /> City Assessments Private Other department <br /> Account code <br /> + Fed /State /County /FAA fixed) <br /> C MMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: I <br /> I fI i <br /> i <br /> ~ 1 <br /> i <br /> I <br /> i <br /> APPROVED: <br /> ~ Project Manager Date ~T ~ <br /> ~U~n <br /> Principal Engineer Date ~ ~ <br /> 0 1" <br /> Facilities Manager Date I <br /> r~'7 <br /> I City Engineer Date ~ ' <br /> I <br /> 1 <br /> FOR USE BY ADMINISTRATION ONLY <br /> Ca ital Project No. / ~ ~ ~ ACK ~ 3 + U'~~ X 3~'I '1 7 ~ 1/ <br /> p I <br /> GL Title <br /> 4- <br /> I <br /> Assigne by Date ~ ~ v <br /> i <br /> I Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet i~lgineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order [public Improvement Permit Application ? Map <br /> ? Request for Scoping Meeting ~ t <br /> ENG 415 WHITE !Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />