.r j _ _ ~ - - 'm- - <br /> . . <br /> ~ Engineering <br /> PROJECT AUTHORIZATION FORM ? <br /> ~u m Public Works <br /> ~ y~ ~ ~ / ~ City of Eugene f <br /> /r` ~ 244 E. Broadway ~ <br /> p Eugene, OR 97401 <br /> Q ~ V (541) 682-5560 <br /> Service ID:-___~"~__l ~ SID PB _ GL ' JC JE <br /> Project title: ~ r~ ' A ~ Au <br /> (/ovation end work description) <br /> i <br /> I <br /> Project manager /contact !private engineer: d t e <br /> PROJECT SCOPE: ~ <br /> Paving: /wror~~ Bike lanes /paths: <br /> (width) <br /> Concrete walks: Setback /Curbside <br /> ~ (/engthJ /wia7h <br /> Wastewater Stormwater ~"~"~QP ~""j'~l F°'`' ~ `SLandscaping j <br /> ~ Signal Street lights ROW required ~ <br /> New building construction Planning, other Remodel <br /> ~ ' <br /> FUNDING SOURCES: x v K ~2DK 5.3/ g'S3~- 7C//~ 7 .%S~S~i f <br /> city ~ U fi ~sessments Private Other department ' <br /> I Wa~~ ,t~„+,lr~ Fic:l;~;.~s - tl~~k Co~rc• 1'~rt'a.a.. Account code <br /> Fed /State /County /FAA { fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: ~ <br /> 4St a va <br /> \ <br /> - ~ <br /> I <br /> t ~;tk <br /> APPROVED: <br /> 1 ~ ,t_ <br /> I ' Project Manager Date~_-~j9~ 'r" <br /> Principal Engineer Date <br /> Facilities Manage~,-~ Date <br /> City Engineer ~ ~ ' Date ~ <br /> j <br /> i~ Q FOR USE BY ADMINISTRATION ONLY <br /> ~ Lxxx k q 55 / L-! Co <br /> ' Capital Project No. ~ ~ ACK ~ <br /> GL Title u`°p ~ ~ ~ ~t ~ <br /> Assigned Date <br /> r <br /> Accounting by Date <br /> i ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineers Initiating Order ? Public Improvement Permit Application ? Map <br /> i ~ ®Request for Scoping Meeting <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK !Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br /> i ' <br /> <br />