<br /> i <br /> s c <br /> ''i~:,. _ <br /> .M ~i-.AM <br /> PROJECT AUTHORIZATION FORM Publ c Wor <br /> k <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> f~ (541) -5560 <br /> Service ID: r!~ r N SID_. PB _ GL _ JC JE _ <br /> Project title: ~ poR-'"~ ~'r~ ?¢.1 ~ ~,C?U? P~ S"~'~?t ~~1,L, I~a~~o? . <br /> (location a work description) <br /> Project manager /contact /private engineer: ~ ? i N S <br /> PROJECT SCOPE: <br /> Pavin Bike lanes /paths: <br /> g' (widths) (~h) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction ~ Planning, other Remodel <br /> FUNDING SOURCES: <br /> City ~-~'~,d OD Assessments Private Other department <br /> A ~ r pcQ.T (~..5l~~? Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ,3 APPROVED: <br /> ~ ~ 4 Project Manager Date ~ 2~ - O 3 <br /> ~ 1 Principal Engineer Date T~ <br /> ~,~iM1Es Manag Date ~ ~ ~ 3 <br /> City Enginee ~ Date ~ ~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ''~'~?'SC~1'3 ACK ~°'~y ~~xX-Y '~y~~•-~ <br /> GL Title ~-)f y ~r t7~ d ~ u K.d ~fdrQ' E- <br /> ~~~'J Date ~ ' <br /> Assigned by <br /> t.~t„-f. ~~1 4--~.cw..~._c.. _ Date ~ `f ~ G`. J <br /> Accounting by <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 2000 <br /> <br />