,a'- A <br /> J ~ <br /> ~ <br /> PROJECT AUTHORIZATION FORM ~ Publ c Wor <br /> s <br /> 4. <br /> - i <br /> _ City of Eugene <br /> 244 E. Broadway <br /> J / ` r,~ Eugene, OR 97401 <br /> 2~~+ v P GL v JC v JE" X541) 682-5560 <br /> Service ID: SID B <br /> Project title: aw BRA ~ioAa ~t1 <br /> <br /> ~ (location eno' woi/r descnptionJ <br /> <br /> ' JoE aN? ? 2E~ <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: ~.g ~ Bike lanes /paths: <br /> /widths/ (width) <br /> Concrete walks: ~ Setback /Curbside <br /> (length) (width) <br /> Wastewater Stormwater ~~~~/S Landscaping <br /> Signal Street lights ! ES ROW required SS FF~"T <br /> New building construction Planning, other 5-nzt>.r 1 <br /> P..k~'S Remodel <br /> FUNDING SOURCES: <br /> City ~ Assessments ? Private Other department <br /> 3 33 L ~ P Account code <br /> Fed /Statet.County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> a <br /> Erb;-~ Ri:e•~Naj".yGi ~LM1~A ~io~1~. FTc.ON~ ~jF1~t-SErI TO ~At~~.E ~'EGo~1~G'T <br /> ~~L.>~. ~~~or~ ~cx~sEU~t."t'" -ro Ec.cy~iZJ~. ~r~!s ~uiko~.~Z~TCO~a, Fop <br /> Tf-t ~ <br /> 1 C~ t5 YDG~SS 6~( IOCCi~ DaC r <br /> ~F, a..- k ~ 7 <br /> i i ,1 <br /> APPROVED: <br /> Project Manager Date <br /> ~ Principal Engineer Date $~~Z~-~Oi~ <br /> Facilities Manager Date <br /> City Engineer Date ~C' Gtr <br /> t <br /> FOR USE BY ADMINISTRATION ONLY <br /> I <br /> f Capital Project No. ~ ~ ~ ~G ~ ACK ~ 3 3 X1332 ~xXxyc q ~ 5 3 G y <br /> GL Title ~ (~~/~J ~ R I <br /> Assigned by / 1..~~W U' r~~t u' lJ ~ Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> C5'~udget 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 C~Map <br /> ? Request for Scoping Meeting <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> - - - <br /> <br />