Engineering <br /> PRO~IECT AUTHORIZATION FORM 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 <br /> Project title: ~a ! 1 f't ~Z.-i~-~' .k-t7"f ~lV L <br /> (location and descri tjor4~. ~ ~ p ~ ^ _ <br /> Project manager /contact /private engineer. ~ 9, ~ L ~~t~a°' <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: 11 Setback /Curbside <br /> r (length) wi~ j l <br /> Sanitary sewer X Storm sewer s~~ I 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 /> 1f <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer t Date ~~d <br /> Facilities Manager Date <br /> City Engineer e Date ~ <br /> ~ ~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ACK ~ ® ~7~~ <br /> GL Title °J <br /> Assigned by Date <br /> ~ X <br /> Accounting b ~ G'L''' Date ~ ~ U <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improve . titr <br /> ? SDC Budget Worksheet gineering Agreement ? Engineering Service Work Re est <br /> ? City Engineer's Initiating Order ublic Improvement Permit Application ? Map <br /> ile Request Form <br /> 1 <br /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ,)L+tt1 RY 2000 <br /> <br />