. <br /> PROJECT AUTHORIZATION FORM P~~i~cwo~s <br /> City of Eugene <br /> 244 E. Broadway <br /> / ~ Eugene, OR 97401 <br /> ^ c- (541)682-5560 <br /> Service ID: ~O~ SID_ PB _ GL JC JE _ <br /> Project title: r ~ <br /> twce ' »wir d~aeon) <br /> r contact / rivate en !Weer. r <br /> Project manage / p g <br /> PROJECT SCOPE: ~ <br /> Pavin ~ 5~ ~ ~Q r ~ ~ Bike lanes /paths: ~ ~ <br /> Concrete walks: Setback /Curbside <br /> (te~J (~n1 <br /> Sanitary sewer Storm sewer Landscaping <br /> Signa! Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING S URCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS / SPELL PROJECT IN~~ INT EPARTMENTA WORK DESCR TION: ~ S S <br /> I' j <br /> Ul I~ ~ <br /> ~ ~a <br /> I I n- <br /> APPROVED: r <br /> -n: <br /> Project Manager Date ~~L~{ <br /> Principal Engineer Date '0 4- <br /> Facilities Manager Date / ! r- <br /> City Engineer Date 7,L7~~rL- c~ <br /> FOR USE BY ADMINISTRA~TiION ONLY Qr <br /> Capital Project No. g5S5~'~ ACK j3~ ~~XXXk ` <br /> b I <br /> GL Title ~7 ~ w ~ ~ C'~" <br /> Date <br /> Assigne y <br /> Accounting by Date <br /> I <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineers Report On Improvement F?etiti¢n <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 JANUANY 2(400! <br /> I, <br /> <br />