<br /> ~ • <br /> r ~V^t ~ <br /> PROJECT AUTHORIZATfON FORM Engineering <br /> Public Works <br /> City of Eugene <br /> ~1 244 E. Broadway <br /> / Eugene, OR 97401 <br /> ` / , ` ` l , (541)682-5560 <br /> Service ID: ~ ~ SID._ PB _ GL ~ JC ~L JE~1_ <br /> Project title: ~ V r ~ ' <br /> r i n ~ 1^ r1 <br /> Project manager /contact /private engineer. <br /> PROJECT SCOPE: ~ <br /> Paving: Bike lanes /paths: <br /> (~+1 <br /> Concrete walks: Setback /Curbside <br /> r~n1 /mil <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal 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 /SPECIAL PROJECT 1 O. / 1 DEPARTME AL WORK DESCR{PTION: <br /> r r ~ ~ r es~' <br /> r r~?` r <br /> c <br /> APPROVED: ~d~ , r <br /> Project Manager Date ~GO~-~ <br /> Principal Engineer Date ~ ~ <br /> Facilities Manager Date <br /> City Engineer Date <br /> i <br /> r- <br /> t7 <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. Q5rJ~ ~`7 ACK,~~ ~~~x ~ J <br /> GL Title n <br /> Assigne by r Date ~ ~ ~ <br /> Accounting y Date <br /> ATTACHMENTS: <br /> ,Budget Estimate ? Developer Agreement ? Engineer's Report On improvement Petition <br /> DC Budget Worksheet ? 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 JANUARY 2000 <br /> <br />