• ~ <br /> r <br /> SUM <br /> w ~ Engineering <br /> ~R ECT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> / Eugene, OR 97401 <br /> Service 6F~:~,_~~ SID V PB ~GL v JC ?JE ~ (541) 682-5560 <br /> Project title:.;~~P P P <br /> //oc&/ion afro' work d s iptionJ <br /> - / <br /> r <br /> Project manager /contact /private engineer: `i <br /> PROJECT,SCOPE: i ~ { <br /> Paving: 0 S~ ~r~~s Bike lanes /paths: <br /> /widths) /widlhJ <br /> I <br /> Concrete walks: Setback /Curbside i <br /> - //englh) (widlhJ i <br /> Wastewater Stormwater Landscaping ~ <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> r/ <br /> FUNDING SOURCES: ~ I I,~ " ' 3 <br /> City Assessments Private Other department { <br /> Account code I <br /> } Fed /State /County 1 FAA fixed) ~ <br /> COMMENTS /SPECIAL PROJ CT INFO. / INTERD PAR~j M-ENTA~} WORK DESCRIPTION: <br /> k~ -.~/7 i fig{/ ~ f /'c°At/~,S ~ ~l~P-~rJ . <br /> 1 <br /> s <br /> I <br /> i <br /> APPROVED: <br /> Project Manager Date Z~o <br /> Principal Engineer Date <br /> Facilities Manager / Date <br /> City Engineer ,Cl~' Date ~ ~ ~~U~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. '"''I ~ 5 `1 ~ ACK ~ 3~ ~ 33 Z ~p ~ 1E !?Iv.O~J ~G <br /> GL Title ~ ~ ~ ~ ~'1 ~ 11N.~= ~ <br /> ~i1~ a <br /> Assigne by Date ~ ~S~ <br /> Accounting by Date <br /> 1 <br /> ATTACHMENTS: j <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> <br /> ~D+ 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 1 <br /> ENG 415 WHITE 1 Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />