<br /> ~ ~ ~ „ 1 <br /> Engineering I/f~ <br /> P~-OJECT AUTHORIZATION FORM Public Works <br /> " ~ M~f~(L City of Eugene <br /> ' I n „ ,,,J~ /G~. 244 E. Broadway <br /> service ID: V~JS U,~ SIDS PB ~GL e~ JC ~ JE <br /> Project title: ~1~~'~`'Y"'"~ ~~~IFTI.~ ~ .~Ar(~~S 1" , ~'`~1 <br /> Lt-'~d ~~~i''t l.~ ~ l.c~sT~141.~ ~ , ~ t <br /> Project manager /contact /private engineer. <br /> PROJECT SCOPE: _ <br /> ~A't~T A I I or~~cfi~S Bike lanes /paths: <br /> Paving: <br /> Concrete walks: Setback /Curbside <br /> (1 i1 <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SO~IRCES: <br /> City t/ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPT N: <br /> F~ kj <br /> f f=-A t-~~'t" E`T~+~+lt~ Pl~o ~c-~ fi ~T~t'~S ~ l~ ~TtA~~ Ri~1 t'X~-TS <br /> a ~ Cast © C ~ Lt1 ~ <br /> p 6~J s ~ ~ ps ~?twtM~.sJ r.~sfi5 c~Pt- ~Tt~ <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date - .r~.a'" ~ <br /> Facilities Manage Date - <br /> City Engineer Date ~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ACK Q33Z 1 X.aC>i?CSC G ~~4 <br /> GL Title i e'1 ~ ~ - ~ <br /> Date /~/1 g` <br /> Assigned y <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 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 200D <br /> s 1-1:3-~31t07:~~ FtC~lD <br /> <br />