~~iOJECT A THORIZATION FORM ~ E"g""~`n9 <br /> Public Works <br /> 4 <br /> City of Eugene <br /> 244 E. Broadway <br /> ~ ~ ~ ~ , Eugene, OR 97401 <br /> (541)682-5560 <br /> S~rviae ID: Z ~ SID_ PB ~GL _ JC ~ JE <br /> Ptojeat title: G tZN 2. d ~ sr~. ~a ~ a. <br /> (roeation wwdc dauxipeion) <br /> i <br /> F~roje~t manager / ntact /private engineer. a.. <br /> PROJECT SCO E: <br /> 10 ~ <br /> V Paving: Bike lanes /paths: <br /> " Concrete walks Setback /Curbside <br /> r~ it <br /> j ~ Sanitary sewer Storm sewer= <br /> Signal Street lights. <br /> 41 New building nstnaction Planning, othe ~ ~S ~ ~ ~ ~ <br /> l S <br /> E=UNDiNG SO RCES: <br /> City ¢Aw ~'+~~-Assessments Pm r~(C~'1 jJEZ ~~'~~-riC~P `~G I ~ <br /> Fed I v~/ P. `112- ~ l ~ G' _ _ 1~ <br /> I COMMENTS / SP CIAL PROJECT INFO. / INTERDEPARTME ~ ~f <br /> ~(p f <br /> C?~( t S~ ' ~ PSIS <br /> i ~ o c ~ V <br /> U <br /> 1.....,.. c,..P? .z G. ..+.L1 6 f <br /> ! ~ <br /> APPROVED ? I j c:Q I ~ 3 ~S <br /> Project Mang j 2'~ ~ ~ <br /> Principal En ineer 1 <br /> Facilities M a er rl,- ~ <br /> Ci En ine r g ~ ! ~ ~ ~ ~ ~ <br /> tY 9 <br /> ~I FOR USE BY ADMINISTRATION ONLY <br /> ~I ~55DUc~ ACK / °Z 4.33x2 rok X~CX 95J~"opa <br /> Capital Pro' No. <br /> <br /> ~f i ~ GL Title ~i~ E ~ t~XrS - ` ~ f~/e,,r~ <br /> Assigned Date ~ 0 <br /> Accountin by Date <br /> ATTACHME S: <br /> Budget Esti to ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budg t Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engin er's InRiating Order ? Public Improvement Permit Application ~ Map <br /> ? File Reque t Form <br /> ENG 415 ~ WHITE /Finance YELLOW /Administration File PINK !Engineering File GOLDENROD /Project Manager JANUARY 2001 <br /> I <br /> <br />