PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: ~ Z s (541)682-5560 <br /> 9 SID PB GL _ JC ~ JE~ <br /> Project title: ~wl ~~~Lu ~l ~ u ~ C~~.• - ` ~A.S~ <br /> (rocanon and wax desaptan) <br /> Project manager /contact /private engineer. 5 Co ~ V t~G.~~'~- <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (wrdrh) <br /> Concrete walks: Setback /Curbside <br /> (~~1 (wxlth) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUM_DING SOURCE ~,.~r~2 ~I~3~5702' X ~k- ~ DS k , <br /> Ci _ Assessments Private Other repartment <br /> S1,J - C~pi`~1 S Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> vow <br /> ~ ~ <br /> ~ r - ~ <br /> p~ ~ b ~ i <br /> ~~a <br /> APPROVED: <br /> Project Manager Date 7-9 .p y <br /> Principal Engineer Date <br /> Facilities Manager ~ Date <br /> e ~ <br /> J, ;j'. ~ Date - <br /> FOR U E BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ACK 531 ~ X-)CXX ~ <br /> GL Title ~?v'~~~N ~ 1 'T~ ~ ~,U.. <br /> Assigned b Date ~ l V <br /> Accounting by Date <br /> ATTACHMENTS: <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 Initiating Order ? Public Improvement Permit Application ? Map <br /> ? File Request Form <br /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />