<br /> ` <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 1'V!~ 244 E. Broadway <br /> ~v Eugene, OR 97401 <br /> / / / / ~ (541) 682-5560 <br /> Service ID: SID_ PB_/ GL _ JC_/ JE <br /> Project title: ' ~ ~ lJe A cue rn _ n PrL° 5 r tJCc.~ DI'1 <br /> `~~'rn~_ <br /> b°~~r [ -t o Cha rFl e 1-~or~ <br /> Project manager /contact /private engineer. tti1GL 1"' ~ M ~ I n f S n'10. <br /> PROJECT SCOPE: ~ <br /> Paving: Bike lanes /paths: <br /> Concrete walks: Setback /Curbside <br /> (1 (w;dm) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City ~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT I . / INT EPARTMENT WORK DES RIPTION:. , <br /> r r' "on S r eS <br /> ~ u I' ion. <br /> APPROVED: ` <br /> Project Manager Date <br /> Principal Engineer Date -7 ~ ~~4--- <br /> Facilities Manager Date <br /> City Engineer Date <br /> CJ <br /> FOR USE BY ADMINISTRATION ONLY <I <br /> -2 -7 c~ <br /> Capital Project No. S 5 ACK I ~ J ~3~ G ~X~1C ~ ~~S ~ 1 <br /> GL Title ' ~ ~ ~u <br /> Assigned y Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineers 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 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />