PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> ' 244 E. Broadway <br /> ~ Eugene, OR 97401 _ <br /> Service ID: ~ / / (541) 682-5560 <br /> SID PB GL ? JC ~ JE ~`'L~ <br /> Project title: "r~ ~ ~ Z-~.~ f't-kr~1~ r ~ <br /> (location and work description) <br /> ~-~-~~~rwo Spa ~~~Tr~cc~~ ~~1~~ <br /> Project manager /contact /private engineer: S~d~ Z~J~~ <br /> PROJECT SCOPE: <br /> i <br /> Paving: ~ ~ Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> ~y~~'-~'~~ /f Oength) (width) tI <br /> ~t~r ~ Storm-sewer ~ ~ 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 <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date 7~ ® ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 3~1`~'C~ ACK ~3~ `"I ~X~XX <br /> GLT'itle ~~'~iE~t,'v:'f~`.l~Y~ ~l ~~S ~G~~~(f~Y1 <br /> Assigned by ~ ~ Date ° ij <br /> ~i , <br /> Accounting by Date }C <br /> ATTACHMENTS: <br /> <br /> ~ J ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order Public Improvement Permit App{ication ? Map <br /> `L~l File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />