1 <br /> Engineering <br /> PROJECT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> V~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> C~ 1 / . ` (541)682-5560 <br /> Service ID: ( SID_ PB GL JC'! JE <br /> Project title: e~ ~iC" u re r <br /> description) Q <br /> Project manager /contact /private engineer. LtJ ~ . n ' <br /> PROJECT SCOPE: ~ <br /> Paving: ~ ~ Bike lanes /paths: <br /> Concrete walks: Setback /Curbside <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 /> Acxount code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCR1PTiON: <br /> P~O~n~[~ r i~ ©r 1 ~4 0 ~S it ~IR?1- <br /> e ~ Co>7 S ?1' <br /> V4? <br /> APPROVED: 2 <br /> Project Manager Date ~ U~- <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date `~l7 ~ o <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ cr755 ACK Q~2 ~~xk <br /> GL Title ~ ` ~ ~ <br /> Assigned Date <br /> Accounting y 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 Engineers Initiating Order ? Public Improvement Permit Application Map <br /> <br /> ~~'ile Request Form <br /> ENG 415 WHITE! Rnance YELLOW !Administration File PINK !Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />