PROJECT AUTHORIZATION FORM engl^ee~l^g <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> a ~ Eugene, OR 97401 <br /> `~.7 541) 682-5560 <br /> ~j., ? Service ID: %'~i <br /> ~lu , Project title: ~e"~ <br /> i (locationSpand)1gworkdescnphon) <br /> Project manager /contact /private en ineer: ~ 1='=, z.- ~ ~ <br /> PROJECT SCOPE: <br /> Paving: (widrns) Bike lanes /paths: <br /> Concrete walks: Setback /Curbside (width) <br /> (length) (width) <br /> i Sanitary sewer Storm sewer Landscaping <br /> i Signal Street lights ROW required <br /> <br /> ~ New building construction Planning, other Remodel <br /> <br /> i <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 <br /> Principal Engin Date <br /> Facilities Manager Date <br /> City Engineer ~p <br /> Date <br /> FtO~R USE BY ADMINI®®STRAT/~ION O(~NLY <br /> Capital Project No. ~U~~ ACK l1~~> g~~ <br /> GL Title Ill ,1 (ay~ ~~r <br /> Assigned by Date 7 ~v <br /> Accounting by Date <br /> r''~ ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> l~ 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 MARCH 1998 i <br /> <br />