T~.....f <br /> 1 ~m <br /> ~n [f ~ Y t. <br /> i4 PROJECT AUTHORIZATION FORM ~ ~~f~1 Engineering <br /> Public Works <br /> 1 i 1 LL; ~E i~ h'- ~ City of Eugene <br /> nnn~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~ (541) 682-5560 <br /> ' Service ID: 1 / f' SID ~ PB Ji! GL ~JC ~ JE <br /> Project title: 11°'~~ f F ~ <br /> (location and work description) <br /> Project manager /contact /private engineer: `Qty I r~ ~~5 ~"F , ~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> 1 <br /> f (widths) (width) <br /> Concrete walks: r Setback /Curbside <br /> pengrn) (width/ <br /> Sanitary sewer ~ Storm sewer Landscaping~~~~ <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUND G SOURCES:_~ ~ t~~ _ ~~yt~'- /il_~ /v~w r~ ~;%'1~=,,i-fc~ ~ ~~~r '~i ....t:._ <br /> City ~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> <br /> ' COMMENTS / SP~E~CIAL PROJECT INFO. I,,NTER JD{EPARTM/ ENTAL WORK DESCRIPTION: ~y <br /> i l' I C ~ t r <br /> X ~ i~. '~S/ l ~ 11.1 : ~~d~ ~ w~ ~ Z,i Ca- E f t l o[. <br /> APPROVED: i <br /> Project Manager ` ~ Dated ~ <br /> Principal Engineer Date <br /> ~F~tc+liElea#anager - Date ~ ~ ' <br /> Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ~ ACK ~ ~~'x'xY k C~ ~ ~j ~ , <br /> GL Title ` `'r ` ~'1 <br /> Assigned I~y j~ Date ~ ~ <br /> Accounting by Date <br /> ,ATTACHMENTS: <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 /> ? File Request Form <br /> ENG 475 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> _ , <br /> <br />