I~~ ~ ~ <br /> ' Engineering <br /> PROJECT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> \ 244 E. Broadway <br /> Eugene, OR 97401 <br /> / / (541) 682-5560 <br /> Service ID: ID ~ PB GL JC _ JE <br /> Project title: 5 ~ <br /> (location and work description) <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: 1~ 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 Remodel <br /> FUNDING SOURS: <br /> City ~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS / SPECIAL P OJECT INFO. / INTERDEPAR MENT WORK DESCRIPTION: <br /> o <br /> v ~.c..t. cG S 5 <br /> ~ - <br /> APPROVED: <br /> Project Manager Date D <br /> Principal Engineer Date <br /> Facilities Maria Date <br /> City Engineer L- Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~j ACK I~ ~ ~.5®0f~ <br /> ~ ~ ~ <br /> GL Title <br /> Assigned by Date ~ <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 /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File .GOLDENROD /Project Manager JANUARY 2000 <br /> <br />