Engineering <br /> PROJECT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 ~ <br /> ` / y~ (541)682-5560 <br /> Service ID: SID PB GL JC ~ JE <br /> Project title: L° elf ~ V 1"C° 1" <br /> (wca ' d+anl Q 1 I - <br /> Project manager /contact /private engineer. e (.t~ I~ n <br /> PROJECT SCOPE: ! <br /> Paving: ~ ~ Bike lanes /paths: <br /> (widtAs) <br /> Concrete walks: Setback !Curbside <br /> rJ (~du~1 <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street fights 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 1 FAA fixed) <br /> COMMENTS 1 SPECIAL PROJECT INFO. !INTERDEPARTMENTAL WORK DESCRIPTION: <br /> iour,~ose i o~ ~S r' sign- <br /> e COttl S <br /> n <br /> APPROYED: <br /> Project Manager Date ~ U~- <br /> Principal Engineer Date •t <br /> Facilities Manager Date ~ <br /> City Engineer Date 7l? r ~ <br /> FOR USE BY ADMINISTRATION ONLY t~ <br /> Capital Project No. ~ 55 5 ~ ~ ACK ~ ~ Q ~Z (~r~Cx X ~ `j~~ / <br /> GL Title ~ ~ ~ ~ <br /> Assigned Date <br /> Accounting y Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ? Engin,. Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? PuF ement Permit Application Map <br /> <br /> ~ile Request Form ~ , <br /> ENG 415 WHITE 1 Finance pan File PINK /Engineering File GOLDENROD! Project Manager JANUARY 2000 <br /> <br />