r ' <br /> u <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> i y~ 244 E. Broadway <br /> <br /> I~'" _ / ~ ~ Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: SID_ PB GL _ JC _ JE - <br /> Project title: I" ~ • r er <br /> Project manager /contact /private engineer. • <br /> PROJECT SCOP~: M ~ / ~ / <br /> Paving: Z3 ~ Bike lanes /paths: <br /> (wimps (width) <br /> Concrete walks: Setback /Curbside <br /> (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING S RCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMM TS /SPECIAL PROJECT INF / INT DEPARTMENT WORK DES RIPTION: <br /> -~r ~hiS 2 r' ~eSt• <br /> r ~ r Cod - on . <br /> APPROVED: ~,~,c <br /> Project Manager Date~7 ~L ' `~f <br /> Principal Engineer Date I ~ r' ~ a-. <br /> Facilities Manager Date <br /> t <br /> City Enginee Date ~ > 4~ <br /> Q5~5~~ ~ E Y ADMINISTRATION ONLY r, <br /> J i <br /> j f ;..i <br /> Capital Project No. ACK ~ 33 ~3's~ l ~Xvcx ~ C15 5 S <br /> GL Title ~ ~ ~ ~ i, <br /> Assigned ~ Date <br /> Accounting y Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> DC 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 />