_ 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: ~Da~ SID ?PB ? GL ? JC _ JE - <br /> Project title: ~~Ke.~rte~ ~C~ll~~ ®~~~a~ ~~(r1A MOCA~t~~ LG~~yt v~ <br /> (location and work description) <br /> qq~~ ~ Q <br /> 'Project manager /contact /private engineer: ~ a ~1 ?d ~ L <br /> PROJECT SCOPE: <br /> I <br /> Paving: + Bike lanes /paths: ~ P <br /> (widths) (width) <br /> Concrete walks: ~ Setback /Curbside 1~+ + <br /> (length) A((wide) y <br /> Sanitary sewer ~ ~~t Storm sewer I ~ a r Landscaping rr y d+ <br /> Signal Rt. ~ Street lights . ROW required ~ • <br /> New building construction Planning, other (S~.A-• Remodel <br /> FUNDING SOURCES: <br /> City ___~-c~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESC~PT ON: ~ ~ Q <br /> L • f ' ~WV ~ P..v1 Irt ~ A:P' <br /> APPROVED: <br /> ® ~ Project Manager Date <br /> ~GTI'vr~{ nn...•., ~.,e:nmr Date " `J ~ ~ j <br /> <br /> j F er Date <br /> <br /> j ~g er Date ~G °_~j <br /> J FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. T 3~ ACK ~ ~ ~ 9335~~(~,,X •7 ~•~T 3O~ <br /> 1~ <br /> GL Title ~r <br /> Assigned by Date V <br /> Accounting y Date r/ <br /> ATTACHMENTS: <br /> ti~.~ ? Budget Estimate ? Developer Agreement ? Engineer's Report On Impro ~~tient Peti Ii <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work ° e~ju sve(~ <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map ~ ~1 <br /> ? File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ~ la ~ ~ <br /> <br />