PROJECT AUTHORIZ~4TION FORM Publ c Wor 9 <br /> <br /> I` <br /> City of Eugene <br /> : 244 E. Broadway <br /> Eugene, OR 97401 <br /> s,~ (541) 682-5560 <br /> Service ID: ~ SID PB GL JC JE <br /> <br /> ' ~ l ~ ,i~~.~-~ ~ a ~ ~ ~ v~c ~1 <br /> <br /> ~ Project <br /> title: , <br /> (location and work description) r . <br /> S d? V " <br /> Project manager /contact /private engineer: ~ Cd~tr ~U C.4~,~,~-- <br /> PROJECT SCOPE: <br /> Paving: 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 SOURCES: ~-t~'U~`(' <br /> City ~ S Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> ' COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTI <br /> ~I • ,i rOl~v tM. J ~ - h ~ CGt~N1 <br /> ~ ~ ~ <br /> V'e..C _O` rJl re t <br /> ` L~,.' 1 f <br /> r <br /> ~ t^ i.+ <br /> APPROVED: <br /> Project Manager Date o ~ ` <br /> Principal Engineer Date ~ <br /> Facilities Manager Date <br /> City Engineer Date ~ ~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK <br /> GL Title ~ <br /> Assigned by Date <br /> Accounting by Date J <br /> ATTACHMENTS: <br /> r`~ ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improveme~P~~t°~Itlo <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Reques#'`~ <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map ~ e <br /> ? File Request Form ~C ~ , <br /> a r J~A U RY 2000 <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Man ge ~A <br /> <br />