q` <br /> PROJECT AUTHORIZATION FORM Engineering <br /> ~ / Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> l;~ ~ Cj (541) 682-5560 <br /> Service ID: / / SIDJL PB GL ~JC ~ JE _ <br /> Project title:. L.i2D W NE~Vi') ~ <br /> (location and work description) <br /> Project manager /contact /private engineer: ~ ~ ~j~oF_..c. !C T~~,~, ~ i~.-~ <br /> PROJECT SCOPE: '~%~vt~.[.~'~""r1rE.r~+~" <br /> Paving: Bike lanes /paths: <br /> (width) <br /> Concrete walks: Setback /Curbside <br /> (lengrn) (widtn) <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~'fl Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ."3 <br /> APPROVED: ~ / ~ <br /> Project Manager / - Date <br /> Principal En i~ ~ t ``"i''~" Date ~ G <br /> Facilities Manager Date <br /> City Engineer Date "~3~3J <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. r ACK ~a / /G~(Yk' Il ~ a%.SD,S it <br /> GL Title ~~r/~~~~~~ /~r,~. <br /> Assigned by IG~l~ t~-~' Date (G <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> <br /> ~,r?' ? 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 />