PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~ 1 ~ / / / ~ ~ (541)682-5560 <br /> Service ID: t SID_ PB_/ GL JC_/ JE <br /> e <br /> Project title- ~ ~ ~ ~ <br /> ~J ` ~ ~~~d~' <br /> i~ work description) ~ n <br /> Project manager /contact /private engineer: _ ~ ~~T ~ 1~~~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widrns) (widrn) <br /> Concrete walks: Setback /Curbside <br /> (length) ~ s7 (width) <br /> Sanitary sewer Storrs-se~r~e~' Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private ~ Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> c / C? O <br /> Project Manager Date <br /> Principal Engineer ~ Date <br /> Facilities Manage Date <br /> City Engineer,aLX~ ~ ~ 1-N ~ Date ` ' <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 2~~39/~ ACK (n3ti 433o x XkkX 313913 <br /> GL Title ~ 1~ ~'1l1N1 K.OI ~Dt'M WlL~~ <br /> Assigned by ~~Gu tt4mlt.n Date ~ I~glbu <br /> Accounting by ~ i Date ~ ~ Q ~ OD <br /> ATTACHMENTS: <br /> <br /> r' ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> - ? SDC Budget Worksheet ,'til Engineering Agreement ? Engineering Service Work Request <br /> ? ity Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> ile Request Form <br /> //////ENG 415 WHITE /Finance YELLOW /Administration File PINK 1 Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />