~ ~~ <br />~1'~ ~ <br />PROJECT AUTHORIZATION FORM ~~ Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />~ Eugene, OR 97401 <br />/ ~~ (541) 682-5560 <br />Service ID: ~/ SID_ PB ~GL "~ JC _ JE ~ <br />Project title: .~ ~~-/~ -~ S / (~ ~' <br />(location and work description) ~~/' -~-~ <br />~~"~~~-,,-~,ri~..~1~i~~~,~~Y"n~~~ ~~~~' / r ~1 <br />Project manager / contact / private engineer: Vc~~~-d,~~~_f~it~~ ~~t f~~~' °"' ~~i.z~, ~~ <br />PROJECT SCOPE: <br />1 <br />Paving: ~s' ~W.~ns~ Bike lanes / paths: ~W;drn~ <br />Concrete walks: etb / Curbside <br />E/ (len9thl (width) f~ <br />Sanitary sewer ~_ _ Storm sewer Landscaping <br />Signal Street lights ~ ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />City Assessments Private_ Other department <br />Account code <br />Fed / State / County / FAA (%, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />~ <br />APPROVED: ~ <br />Project Manager ~ Date 2 <br />Principal Engineer Date ~ Z ~Sn <br />Facilities Manager Date <br />City Engineer Date - ~ ~ L ~V` <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ACK <br />GL Title <br />Assigned by Date <br />Accounting by Date <br />ATTACHMENTS: <br />^ Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />^ SDC Budget Worksheet ~v'€n~ineering Agreement ^ Engineering Service Work Request <br />^ City Engineer's Initiating Order ~-~blic Improvement Permit Application ^ Map <br />^ File Request Form <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager JANUARY 2000 <br />~~~`~°'~~ <br />_ , _ _ __ <br />i <br />a <br />~ <br />~ <br />i <br />~ <br />IV <br />W <br />i <br />W <br />~~ <br />~~ <br />~ <br />