PROJECT AUTHORIZATION FORM <br />Engineering <br />Public Works <br />~~ <br />~~~ ~ <br />City of Eugene <br />i' 244 E. Broadway <br />-- ~ ~ ~ ~ ~ ~ ~ Eugene, OR 97401 <br />(541)682-5560 <br />Service ID: SID_ PB _ GL _ J _ JE _ <br />Project title: e~~~Lfw D ~~ ~A w~ S~a~S ~~ ~ <br />(/ocation and woik descriptionJ <br />Project manager / contact / private engineer: ~~~l ~"t 4G~ I6~Y S <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: <br />(/englhJ <br />Wastewater <br />Signal <br />Stormwater <br />(widlhJ <br />Street lights <br />New building construction Planning, other <br />FUNDING SOURCES: <br />City Assessments Private <br />Bike lanes / paths: <br />(widlhJ <br />Setback / Curbside <br />Landscaping <br />ROW required_ <br />Remodel <br />Other department <br />Account code _ <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTlON: <br />( %, fixed) <br />/•i d~/~~s.2°s /~-ESE,Q,V~S . ~ Z3 ~DC~ ~U~.~L~N ~ ~~L.J/U~y4-71tl~ <br />. ~~e ~~ V ~ ~T ~_E9/9A~ ~ oA \ d_~ ehA ~ <br />APPROVED: ~ <br />Project Manager Date ~~ <br />Principal Engineer Date ~-~° ~~ <br />~Manager . ~-G~1 <br />'~ ,~.-9-0~ <br />Date <br />City Engineer Date Z/1a/~ <br />Capital Project No. <br />GL Title r 1 <br />Assigned by <br />Accounting by _ <br />FOR USE BY ADMINISTRATION ONLY <br />Q~ J 1 O Z AC K~` Z" q~~v~°~' '" ~ DCd~-OC °~~ c~7 L~ <br />- ~t <br />-Y~.S ! U~~ ~D(5 $ <br />Date ~/ __ <br />Date <br />ATTACHMENTS: <br />`" ^ Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />^ SDC Budget Worksheet ^ Engineering Agreement ^ Engineering Service Work Request <br />^ City Engineer's Initiating Order ^ Public Improvement Permit Application ^ Map <br />^ Request for Scoping Meeting <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />