. <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> / Eugene, OR 97401 <br /> 'V// t~ (541)682-5560 <br /> Service ID: ~O~ SID_ PB _ GL JC ` JE <br /> Project title: / r ~ <br /> ' wow ate) 1 <br /> Project manager /contact /private engineer. r <br /> PROJECT SCOPE: ~ <br /> Paving: ~ 5~ r~a r ~ ~ Bike lanes /paths: <br /> (sl <br /> Concrete walks: Setback /Curbside <br /> r~ r~n~ <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 /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMME TS /SPECIAL PROJECT. IN~?~ / INT EPARTMENTA WORK DESCR ON: <br /> ~ 't`l1r ~ ` S r eS <br /> `l <br /> / <br /> r- <br /> ,1 <br /> APPROVED: r <br /> Project Manager Date apt, .rt <br /> Principal Engineer Date <br /> Facilities Manager Date ~ <br /> Ciry Engineer Date 7~-~ <br /> n <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~15552'~ ACK ~~XX~k `~~S2y <br /> GL Title r T ~ w, ` <br /> ~7 f1 ' <br /> Assigne y Date , ( CJ <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 /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />