PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~ City of Eugene <br /> 244 E. Broadway <br /> cx~ Eugene, OR 97401 <br /> 1 ~ Service ID: ~ f~ (541) 682-5560 <br /> / Project title: ~ ~ <br /> V (loc~jpn and work description) ~ <br /> °il~rl~1 ~ ~1 ° <br /> ~ ~ Project manager /contact /private engineer: ~ G~ ~f7 ~.t-~tS ~ ~j ~ <br /> ~ PROJECT SCOPE: <br /> <br /> I ~ <br /> ~ Paving: ~ Bike lanes /paths: <br /> (wiarns) ~ (widrn) <br /> Concrete walks: <br /> SetCurbside <br /> ~5°T~"hifi'TrC.P yjngth) Vrlf!T.fe ` ,Lwidth) <br /> Saciitaxysewer ~S Storrt}sewer I 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 /> Project Manager ~ Date~A <br /> Principal Enginee Date <br /> Facilities Manager Date <br /> City Engineer Date ® ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK <br /> GL Title Z <br /> Assigned by Date _ ~ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Develo er A reement <br /> P 9 ? Engineers Report On Improvement Petition <br /> SDC Budget Worksheet engineering Agreement ? Engineering Service Work Request <br /> City Engineer's Initiating Order ublic Improvement Permit Application ? Map <br /> File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager .MARCH 1998 <br /> <br />