~ ~ <br />~ ~ ~ <br />PROJECT AUTHORIZATION FORM Engineering <br />Public Works <br />~ Ciry of Eugene <br />\ ~ 244 E. Broadway <br />~~ Eugene, OR 97401 <br />(~~ ,~ (541)682-5560 <br />Service ID: ~ C ~ ~ SID ~' PB ~GL ~C _ JE ~ <br />Project title: ~/GC~//i1E~ y'~,l1J~iQ5' ,4ver~~f ,s~--~~j~~/ ,~~5'~~f <br />(/ocation and woik descriptionJ <br />Project manager / contact / private engineer: <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br />(widlhsJ (widlhJ <br />Concrete walks: Setback / Curbside <br />/ (/engthJ (widlhJ <br />Wastewater / Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUNDING ~OURCES: <br />City / Assessments Private <br />Other department <br />Account code - <br />Fed / State / County / FAA (%, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />~~SCi~.P('/~ P~S/.l,~l L / Ti~ o~' ~~=~a ~~ isi~~i.~~ %s ~ ~o,~.s~--~~cri.c~'6' <br />~ ~ 1~,~~u17'l s~s"l ~_ <br />APPROVED: <br />Project Manager_ <br />Principal Engine~ <br />Facilities Manager <br />City Engineer s ;~~ <br />Date ~~ ` l~ ~ ~ <br />Date ~~ ~ ~ ~~ <br />Date f <br />Date ~~/~ ~~~~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. `- ~~~ °~ ACK ~~~ ~~3 ~ ~ ~~~ ~ ~ ~ 5 ~ ~ ~~ <br />~ ~ `°~ ~ ~° <br />GL Title ~ "~,-i ~ 1~,~. -'~.- ~ ~ ~ ~ ~) ~~ <br />Assigned <br />~ <br />y Date ~~ ~~ ~~ _ <br />Accounting by <br />Date <br />r; <br />i <br />,,~; <br />_` <br />c, <br />~' <br />r <br />;~,. <br />~ <br />~~~~ <br />v - <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 />^ Engineering Agreement ^~ngineering Service Work Request <br />^ Public Improvement Permit Application ~~Map <br />YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />