r <br />~ ~' <br />~~ / <br /> <br />I , <br />f' y <br />~~ ~. <br /> <br /> <br />..,PROJECT ~-UTHORIZATION FORM <br />i~~ ~ P oZ' <br />~I~~ <br />Engineering <br />Public Works <br />h ~ ~ ~ ~ i _P,~.. City of Eugene <br />_ <br />~ "- Eugene, OR 97401 <br />~~~ ~ - / _ J / (541)682-5291 <br />Service ID: <br />~A SID PB v GL V JC ~,/ JE <br />~ <br />~ <br />Project title: T <br />~ ~ G_~_~ ~ L.L /fit- ~ ~ ~ U ~ ~ ~, <br />I t~ n <br />~~ nd ~np/~J descnphon //'~~ (~ r -~^- ~ ~ / y~ <br />~, ~+ ~1..7 IV, ~ ~i ~ t ~ VV ~~~ !` <br />Project manager / ontact /private engineer: T ~ ~ SSOG-. IVL. . <br />PROJECT SC PE: ~ <br />Paving: ~ Bike lanes /paths: <br />(~~) <br /> <br />Concrete walks ,---^--.-~ (width) <br />SPtI harki'Curbside <br /> <br />Wastewater ~( per~rnJ (widrn) <br />Stormwater ~ ~' ~ ~ Landscaping <br />Signal Street lights ROW required <br /> A~t-02~UZ <br />New building c nstruction Planning, other~'ru i - 33 Remodel <br />'. FUNDING SOU CES: <br />i City Assessments Private ` Other department <br />i <br />Account code <br />i Fled /State / Co my /FAA (% <br />fixed) <br /> , <br />~OMMENTS / SPE IAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br />,La.uYr III nVe % 1~ /In <br />stn ~ /~ '~ ZV' ~ a.Vir, <br />'~~ncr t 2~' <br /> <br />l -e ~ A 1 I ~1 "}~ 7 ., _ Y' ll~. ~ VlU fit t n.,l <br /> <br />APPROVED: ~ , <br />~~^ <br />Project Manage --"" ~~~ ~ f <br />~` Date ~ ~ ~- ~ ~ Z <br />Principal Engin er ~r~~~ Date ~ <br />Facilities Mana er Date <br />~~ <br />City Engineer -- Date '~~`/ G Z- <br /> <br /> FOR USE BY ADMINISTRA <br />T <br />ION ONLY <br />Capital Project ~ <br />I <br />o. _ ~ / ~y7~ ACK ~~~ `7•a~e~ la}CXX k va71jlO~~ <br />GL Title / ~ L L !d t !.t /0 <br /> ~ <br />Assigned by ~ D L <br />Date <br /> <br />Accounting by ~, 1 j <br />~~-~ / ~ / .~~' -~ ~ C Date ~ ~ ~/ ~ ~" <br />ATTACHMENTS: I' <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 IniXiating Order Public Improvement Permit Application ^ Map <br />"'~ File Request Form <br />ENIG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br />