PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> L..C..~ ~ City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: ~ ~3 n SID ~PB - GL _ JC ~JE <br /> Project title: ~A/'/~LtCJ " <br /> (location and d ription) <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building constructiori Plannin~g,~/other Remodel <br /> FUNDING S'O/U~CES: ~ZD~ ~~o~ e~.~~ `~und~ <br /> City v Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COM EN S / SPE IAL PROJECT IN O. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> r <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date f <br /> F%R USE BY ADMINISTRRATION ONLY / <br /> Capital Project No. ~ ACK ~~d 9330' X~cXXX ~ <br /> GL Title aCJ ~GC/ <br /> Assigned by Date ~ d3 <br /> Accounting by Date ~f <br /> 7 <br /> ATTACHMENTS: <br /> <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 /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />