` ~ _ ~ <br />PROJECT AUTHORIZATION FORM ~~ ~ Engineering <br />Public Works <br /> <br />`. __ <br /> <br /> <br />Service ID: <br /> <br />~ ~ ~ <br /> <br />SID_ PB _ GL _ JC <br /> <br />~ • ~' <br />~C <br />_ JE _ City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />(541) 682-5560 <br />Project title: <br />(/ocation and woik descripfionJ _ . <br />Project manager / con act / private engineer: <br />PROJECT SCOPE: O <br />Paving: ~~ Bike lanes / paths: <br />Concrete walks <br />Wastewater <br />Signal <br />(wrdlhsJ o (widfhJ <br />• L~ etbac / Curbside <br />~~ (/engthJ (widlh) ~~ <br />~ Stormwater _~d Landscaping <br />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 - ~ 1 - <br />Date <br />Date <br />Date >2~, ~6 f <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. `-~~ ~~~~ ACK - ~L./~ ~ ~~~ ~d~s~r1 ~ ~ ~ 9 `~ ~~~ <br />ATTACHMENTS: ~ <br />i~ ^ Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />~~ ^ SDC Budget Worksheet ~ggineering Agreement ^ Engineering Service Work Request <br />^ City Engineer's Initiating Order CC~ublic Improvement Permit Application ^ Map <br />^ Request for Scoping Meeting ~ ~/~~ ~ <br />l~ <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />I~i <br />C~ <br />G~ <br />I <br />c:_- <br />CT <br />a.:. <br />c~ <br />~s; <br />L; <br />-~ <br />Accounting by Date <br />