PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~`CC~-O City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> C~ (541) 682-5560 <br /> Service ID: ~ r~~ SID ~PB GL ~JC ~ JE <br /> Project title: _ +~Ct/~i ~C~~ P~~IJ ~/C T <br /> (location and work descripti n) <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (iength) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other .X. Remodel <br /> FUNDING SOURCES: ~ /~K <br /> City ? Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA ijxed) <br /> COMMENTS /SPECIAL PROJECT INFO. / lNTERDEPARTME TAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date 3 / ~ ~ <br /> FOR MUSE BY ADMINISTRATION ONLYY~? <br /> Capital Project No. (.~~~~7- ACK ~-33a X~'v~/~x- 9/SDIp^~` <br /> GL Title nI <br /> Assigned by Date ~ a?3" ~ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engjneet"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 /> t ? File Request Form <br /> E <br /> ENG 415 WHITE /Finance YELLOW /Administration Fite PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br /> r <br /> <br />