? ~ , . <br /> S <br /> U 1~-( .,.1G. <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541)682-5560 <br /> Service ID: SID~PB ~GL ~JC JE <br /> Project title: CeEsT Ct~7'EX?' SANS /7vF SoL~ i~u,,,JS P2o~E~ <br /> /location grro' work description) <br /> Project manager /contact /private engineer: I ~ G A I'1 nN ~ ?2.. <br /> PROJECT SCOPE: <br /> Paving: Bike Panes I paths: <br /> (wrdlhs) /width/ <br /> Concrete walks: Setback !Curbside <br /> (length) (wio7AJ <br /> Wastewater Stormwater Landscaping .,w <br /> Signal Street lights ROW required <br /> New building construction Planning, other S <br /> T t2 E~ OES?+f?~ Remodel <br /> FUNDING SOURCE 3?Z <br /> City QO/1 C~ f•llNil ~ Assessments Private Other department ' <br /> I <br /> t t ~ ~ 7 ti Lir~ Account code <br /> Fed /State /County !FAA fixed) ~ <br /> ' COMMENTS! SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 'j~.)(5 i5 ~ ~ Z`!~~ Dop PRU~'EC7 Fz12 ~E C,eES7' ~sS N~~ESS +~rfttr~ <br /> IlVG1.t/OES Pe d~"'ECT OEv~ 1 uF~,Enri ~ PugZ j t OUTIGFHC H rhC l7~ ~ 7~iTu(~? <br /> (v ~#SJ t-'r`Y~ N"f~ s E le i t ~ S, a k N O S'7 (Z E'r`f O FS ! 6 nr ~ P E '~T7i 1Z OUd (zn <br /> ~?~nl . 7'Mt ~ ~UNDirJb IS ('~c ~ >J.OF b iti ~ FY P,2 aPOS b g yOb~ <br /> I' <br /> - 1 <br /> <br /> r~r;~' <br /> APPROVE: a <br /> Project Manager Date ~0~~-~d 1 <br /> Principal Engineer Date ~'S' ~ <br /> I <br /> Facilities Manager Date <br /> City Engineer - - - Date ~ /z /06 <br /> 1 <br /> FOR USE BY ADMINISTRATION ONLY <br /> q~Sy ~ y t2 433Z t~~Y~ 9-ls4l <br /> Capital Project No. ACK 3 <br /> ~ 1 I <br /> GL Title 1r°~-S i.J r Y1 -~.r') 1 ~ 1~1 "C -C <br /> r~ 2 4 <br /> Assigned by - Date ( <br /> Accounting by Date <br /> ~ACHMENTS: <br /> Bud et Estimate SuYV+vr~avy <br /> g ? Developer Agreement ? Engineer's Report On Improvement Petition j <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 1 Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JUL Y2004 <br /> <br />