- . <br /> t ~ ~ <br /> _ Engineering <br /> <br /> ~ PRESJECT AUTHORIZATION FORM SlAnd Public Works ~ <br /> I <br /> City of Eugene <br /> _ 244 E. Broadway ' <br /> Eugene, OR 97401 <br /> 7 / ` ~ ' / (541)682-5560 <br /> f Service ID: SID V PB ~L GL V JC ~ JE~ <br /> Project titl <br /> (/ocati and ik d <br /> U <br /> Project manager /contact /private engineer: Y 1 <br /> PROJECT SCOPE: O <br /> Paving: ~ w~~~~ Bike lanes /paths: ~ <br /> (widths) (width) I <br /> Concrete walks: Setback /Curbside i <br /> (length/ (wioYhJ i <br /> I <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> ~ New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~ ~ ~ K ~ 33 d <br /> City - Assessments Private Other department <br /> ~,.r ~ Account code o <br /> Fed /State /County /FAA (/o, fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. / INTE~IDEPARTMENTAL WORK DESCRIPTION: <br /> ~ ~ / r f ` <br /> APPROV ' <br /> Project M~a~er Date ~ <br /> Principal Ency'neer Date , <br /> Facilities M~r~ er Date <br /> City Engineer .9 ~ Date a!!/ /u~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ J ~ ~ ACIy ' f~~~ ~ J Z ~o X~ x x Q ~ ~y ~'1 <br /> GL Title ~ ~ ~t~ ~ ~ ~ ~ 2..`~ ~ <br /> Assigned y ~ Date ~/~5 <br /> ( <br /> Accounting by, 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 /> <br />