PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: <br /> Project title: ~ ~ ~ ~ ~ ~ ~i <br /> (location and work description) <br /> Pg ? Project manager /contact /private engineer: lC 'lam <br /> PROJECT SCOPE: <br /> V Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> <br /> II (length) width) <br /> Sanitary sewer Storm sewer ~ ®~d I Landscaping <br /> Signal Street lights ROW required <br /> <br /> i <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 tNFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager Date ~ ~ ~ / <br /> Princi al En ine ~ <br /> p g Date <br /> Facilities Manager Date <br /> City Engineer Date `Z'~6 ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 3 8'~ 5 ACK ~ q 3~ ~ X u X x X ~`7 3S 3J~ <br /> GL Title V \U15 C3V~ AEI ~?Y~~ ~h'1 <br /> Assigned by y~i~"' Date /a ~D ~i9 <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 MARCH 1998 <br /> <br />