V <br /> PROJECT AUTHORIZATION FORM ~ Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> 'jam / ~ ~ r / a~"?~ (541)682-5560 <br /> Service ID: ~ SID PB _ GL JC ~ JE <br /> Project title: C~f~-t"S ~ ~ ~ ~ P6~(ylN~'~f ~r'~-~?~~/f-Tlw~l <br /> (bcati°n erW wiork des lion) <br /> Project manager /contact /private engineer: ~7o'ryp~W M~~~' <br /> PROJECT S,CIO'PE: ~ <br /> Paving: 'kt~ • b~ ~ ~ ~ ~ ~ ~f~ W I ~ Bike lanes 1 paths: <br /> (widutsl <br /> Concrete walks: Setback /Curbside <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~(Fi~ ~Y~ /.~3 933a lp/ ~3S' ~7SG'/y~ <br /> City Assessments Private Other department <br /> Account code <br /> c- <br /> Fed /State /County /FAA fixed) <br /> ~-a <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ <br /> -r <br /> <i <br /> ~ <br /> .:r <br /> r~ <br /> APPROVED: I <br /> Project Manager Dat€'B - <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ " r ACK ~ ~3~~ ~X~u ~ ``I <br /> GL Title ~~i'" l G \~L~1~J{-r''~ ~ ~'!~'1 . <br /> w ~ Date ~ <br /> Assigned <br /> Accounting y Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> <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 /> ENG 415 WHITE / Fnance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />