PROJECT AUTHORIZATION FORM <br />~`~ <br />~..- <br />~ <br />Engineering <br />Public Works <br />Service ID: r7 / ~ <br />Project titie: <br />Project manager / cor~ta~ct / private engineer: <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />(541) 682-5560 <br />I~ <br />~ ~ ~~ ~~ ~ <br />SID_ PB GL _ JC JE ~ <br />PROJECT SCOPE: , <br />Paving: ~~ Bike lanes / paths: <br />(widlhsJ (widrhJ <br />Concrete walks: Setbac / Curbside <br />~r~ (/engthJ (w;d1hJ ~~ <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 Enginee~ <br />Facilities Manager <br />City Engineer~ <br />Date ~ ~ ~- <br />Date <br />Date - <br />Date ~~~~ ~ r7 <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~ , ~/ ~ ~ ~ ACK ~C~ ~ ~ ~~ o K~ ` ~ ~- d ~~~ <br />GL Title ~ ~ ~~~/ <br />\~ ~. <br />Assigne i by Date ~ ~~ <br />~ <br />Accounting by Date <br />ATTACHMENTS: <br />^ Budget Estimate <br />^ SDC Budget Worksheet <br />^ City Engineer's Initiating Order <br />^ Request for Scoping Meeting <br />ENG 415 WHITE / Finance <br />^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />~gineering Agreement ^ Engineering Service Work Request <br />ublic Improvement Permit Application ^ Map <br />~ ~ ~~ ~~ ~ <br />YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /ULY200~ <br />