<br /> r <br /> PROJECT AUTHORIZATION FORM PublcWorks <br /> City of Eugene <br /> 244 E. Broadway <br /> / ! / ~ Eugene, OR 97401 <br /> t// ? 1~ (541)682-5560 <br /> Service ID: StD_ PB GL - JC _ JE <br /> Project title: C' ~ ~ r er <br /> ~ ~~p ~ -Fo / <br /> Project manager /contact /private engineer. ~ <br /> PROJECT SCOP~: M ~ f ~ / ' <br /> Paving: Z3 ~ Bike lanes /paths: <br /> c <br /> Concrete walks: Setback /Curbside ' <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required, <br /> ~ <br /> New building constn~ction Planning, other Remodel <br /> FUNDING S RCES: ' <br /> City Assessments Private Other department ~ <br /> Account code ' <br /> Fed /State /County !FAA fixed) <br /> COMM TS /SPECIAL PROJECT. INF~/ INT~DEPSRTM~ WORK DES RIPTION ~ ~S ~ <br /> r <br /> r ~ ~ r con off' . <br /> APPROVED: j~~dL.'~°~'[ I <br /> Project Manager Date ~ <br /> Principal Engineer Date ~ ~ ~ ~ ' <br /> Facilities Manager Date <br /> City Enginee Date. y~'- v <br /> s <br /> E Y ADMINISTRATION ONLY <br /> ~5~sy~ ' <br /> Capital Project No. ACK ~ ~~3a ~ ~X~ ~ ~ 5 5 S I ci <br /> ` , c~ <br /> GL Title ~ 1 ~ <br /> /l i <br /> Assigned t Date v ~ I' <br /> Accounting y Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petiti~n I, <br /> ~DC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Inftiating Order ? Public Improvement Permit Appl"ICation Map ~ <br /> File Request Form <br /> ENG 415 WHITE / Fnance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 00! <br /> <br />