i <br /> 1~ <br /> <br /> I ~ W Jr. <br /> <br /> i ~ PROJECT AUTHORIZATION FORM t:ngtneer~ng <br /> <br /> i , j`~ rl~~~ ~ Public Works <br /> i ,i' <br /> ~ mQJ~ City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ab (541) 682-5560 <br /> Service ID: Z' SID PB ! GL ~ JC JE " <br /> Project title: 7 e- U~ e c" s' S+''~-N^ ~ t'~L ~ ' ~ <br /> (/ovation and work descnptionJ t' <br /> <br /> I Project manager /contact /private engineer: ! `G iT d r i g U Q S <br /> <br /> I <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widlhs) (wioYhJ <br /> I Concrete walks: Setback /Curbside <br /> j (/englh/ (wioYhJ <br /> I Wastewater Stormwater Landscaping <br /> I <br /> ~ Signal Street lights ROW required <br /> I <br /> ~ New building construction Placcnning, other Remodel <br /> ' FUNDING SOURCES: ~E X fY o't S'lL S ~vt l-r'~3o1 Co / 9 SG/$'~ <br /> I ' CityW 61 U~~ 1; Farr' Assessments Private Other department <br /> S^.3Z-- wW~el~Pl~ Account code <br /> M <br /> q,~u, ~ Feci / Stat~County /FAA fixed) <br /> r}~ , i <br /> I'"'~ ~ COMMENTS / .~PECIA PROJECT INFO. / INTERDEP RTMENTAL WORK DESCRIPTION: <br /> I ~+'r- f ' <br /> ~0 rII 11 Ur~ ~ ~ O ~W r Q i 1~...) ~ e a+P r~ S ~ ~ -E. e <br /> ' ~ -.Y` ~i o u~ k ~ ~ e S ~ f a ~ o... ~U 2..~..~_ ~ a Q r-- <br /> ~ . ~ 5 r <br /> 1 _r , <br /> I r r'i I <br /> APPROVE: <br /> Project Manager Date l l ~3~ ~Cd 4' <br /> Principal Engineer Date 1 ~ - ~ y - G 4- <br /> j Facijities Manager Date <br /> City Engineer ~ Date I' ~ <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. q~~O2' ~ ACK 9 330? ~ X X xx g~5 Q ~ <br /> GL Title W S ~ 1 ~ ~ <br /> ~~/d/~~ <br /> I Assigned by ~,-r"~~ Date <br /> ` Accounting by Date <br /> I <br /> ~ ATTACHMENTS: <br /> I <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 /> I ? Request for Scoping Meeting <br /> I . <br /> I <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> y <br /> <br />