Engineering 1 <br /> PROJECT UTHORIZATION FORM ~ Public Works <br /> City of Eugene <br /> 858 Pearl <br /> Eugene, OR 97401 <br /> r (541)682-5291 <br /> Service ID: ,yjo SID ~ PB ~ GL ~ JC ! JE <br /> Project title: <br /> (IOCaNon ~ pp ion) ~ ~ ~ ~ ~ . r A_~C~i 2 <br /> <br /> ~ Project manager / ontact /private engineer: ~ ~ <br /> PROJECT SC PE: <br /> Paving: Bike lanes !paths: <br /> (widths) (width) <br /> Concrete walk : Setback /Curbside <br /> (length) 'dt I t <br /> i Wastewater ~ Stormwater j Landscaping <br /> ! Signal Street lights ROW required <br /> New building c nstruction Planning, other 3-~ ~ Remodel <br /> I <br /> i <br /> FUNDING SO RCES: <br /> I, Iii, City Assessments Private ~ Other department <br /> Account code <br /> ~ fed /State / ~ unty /FAA fixed) <br /> I <br /> COMMENTS / SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> i k I~ <br /> ' I <br /> I <br /> 1 ~ „ II <br /> APPROV~s <br /> 9s 4 <br /> € I i Project Mana er ~ Date <br /> Principal Engi eer Date <br /> Facilities Man ger ~ Date <br /> ~ ~/7 <br /> City Engineer ! Date <br /> i <br /> ~ FOR USE BY ADMINISTRATION ONLY <br /> I <br /> Capital Proje No. ACK ~ ~ q-~?~~_l.~X''7 7 Z~ <br /> I GL Title `2.t~ C~ I / t ~ <br /> ~I Assigned ~ Date <br /> j <br /> Accounting b Date <br /> ATTACHMENTSk <br /> ? Budget Estima~e ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Vlilorksheet ~ 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 FEBRUARY 2002 <br /> ' ~ ~ <br /> <br />