-r ~ <br /> FPROJECT AUTHORIZATION FORM - Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> <br /> "P. Eugene, OR 97401 <br /> v'' ,,,r'' i,/' f 0 P" (541) 682-5560 <br /> Service ID: SID. PB - GL _ JC _ JE <br /> Mroject title: ~ <br /> (lo~ca ' n work ascription) <br /> / C... r rO ~f <br /> Project manager /contact private engineer: ~ <br /> PROJECT SCOPE: <br /> Paving: ~~-d-'' Bike lanes /paths: <br /> (widths) {width) <br /> Concrete walks: /Curbside <br /> oangth) (w~dtn) ~ Landsca in <br /> Sanitary sewer , ~ Storm sewer ! p g <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private //''r Other department <br /> Account code <br /> Fed /State / Coiunry /FAA fixed) <br /> COMMENTS / SPACIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> u <br /> I <br /> I <br /> APPROVED: ~ <br /> ' <br /> Project Managier Date <br /> Principal Engineer Date <br /> Facilities Man~lger Date <br /> City Engineer ! Date ; r <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK ~ ~ ? 4J ~ t`.~XX,~c k 2 ~ L ~ E <br /> ti <br /> GL Title 1'"'t 4.~ l_t `~C~i~"_ ~ ~ { ~,l 1 ~j r""'1 <br /> ~ <br /> t ~ e ~ ,i'~ <br /> Assigned b~+~~ } } ~~''~'"t"'~""°~-~°"~ Date <br /> ;\,Y,,s' <br /> Accounting by Date <br /> ATTACHMENTS: ..eLer' <br /> ? Budget Estimate feveloper Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ~F~ngineering 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" / <br /> Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> ~~j <br /> <br />