PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> / / 6 Eugene, OR 97401 <br /> „ / , / ~ S (541) 682-5560 <br /> Service It: SID_ ~e ~G®L _ JC _ JE _ <br /> Project title: ,~l~e'~0/~~,~ ~ pia G~t~L 1!1~.~~3 /i ..1~~'" f~ a~~.~~-°~ <br /> (location and work description) <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 construction Planning, other ~r Remodel <br /> FUNDING SOURCES: gU50(o2. ZO K 4 ~sz3~ `f K <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ ~ ~ . <br /> <br /> ~ ~ ~ ~ .t~'G~ <br /> /~'1,~~ ~ off C tl~~ ~sr ~ F <br /> APPROVED: <br /> Project Manage Date ~ <br /> Principal Engineer Date 3 ~ ~ <br /> Facilities Manager Date <br /> City Engineer Date ~/.3 <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No, ACK ~~j - 9.35 ~ 1 Sir I ' 919 ~ <br /> GL Title ~~GnIr1~~5 S~En/' <br /> Assigned by Date 3 Zf~ f1U _ <br /> 11 ~1 <br /> Accounting by Date <br /> ATTACHMENTS: <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 />