<br /> ' V <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> Ciry of Eugene <br /> ~1 244 E. Broadway <br /> / Eugene, OR 97401 <br /> r~ ` / , / ~ ~ ` l , \a (541) 682-5560 <br /> Service ID: 1 ~ SIDvvV_PB 1/~ GL r .!C ~L JE~•1^ <br /> Project title: ~ Ve r T <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: ~ <br /> Paving: Bike lanes /paths: <br /> (widnrs) (width! <br /> Concrete walks: Setback 1 Curbside <br /> fterwthl (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING S URCES: <br /> City Assessments Private Other department <br /> ` Acx:ount code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT. I O. / 1 ~tDEPARTMEryI~~AL WORK DESCRIPTION: <br /> r h ' -fil'l r ' ~ r ~s~. <br /> r ,n` r <br /> c ' <br /> i1 <br /> C~ <br /> APPROVED: r <br /> Project Manager Date ~d~' <br /> Principal Engineer Date .~f <c <br /> Facilities Manager Date <br /> City Engineer Date '~~7~ ~ <br /> i <br /> FOR USE BY ADMINISTRATION ONLY ~ <br /> Capital Project No. Q~tJ~~ ACK ~d~xx ~ J J S <br /> GL Title ~ <br /> Assigne by ~ Date ~ ' <br /> Accounting by pate <br /> A ACHMENTS: <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 />