Public Works <br /> TRANSPORTATION PROJECT AUTHORIZATION FORM Transportation Division <br /> City of Eugene <br /> 858 Pearl Street, Suite 300 <br /> j ~b ~ Eugene, OR 97401 <br /> C~ L DV' R3 (541) 682-5218 <br /> Service ID: ~e,~° <br /> ~ -Project Title: ~c ~ ~ <br /> (Location and Work scription) <br /> <br /> 'I ~ <br /> j ~ ? Project Manager /Contact: ~ ®~Gt ~j[~~ ~S <br /> PROJECT SCOPE: <br /> Paving: Bike Lanes /Paths: <br /> (widths) (widths) <br /> Signal: k Street Lights: ROW Required: <br /> Other: <br /> FUNDING SOURCES: <br /> City: f Private: Fed /State /County: fixed) <br /> COMMENTS /SPECIAL PROJECT INFO /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ ~ - <br /> ~ <br /> APPROVED: <br /> Project Manager: .Date: <br /> Traffic Enginee . Date: <br /> Transportation Manager: Date: <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No.: ~®~r~ fit/ ACK: ,~~3~3 `~.331r ~C~-~a <br /> GL Title: ~ty i j.5~ f ~.t!,7 s <br /> Assigned By: ,,~si~ Date: <br /> Accounting By: ~ / Date: `~~/~/r'~ <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Map <br /> I <br /> ? SDC Budget Worksheet ? Engineer Agreement <br /> 1 <br /> PWT101 WHITE/Finance YELLOW/Administration File PINK/Transp. File GOLDENROD/Project Manager JAN 2000 <br /> <br />