PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> Ci of Eu ene <br /> fY 9 <br /> ~ 244 E. Broadway <br /> G'~ Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: SID PB GL '~JC ~ JE _ <br /> Project title: S~L~ i%/4 ~hG{ 1~ ~C~ G7~~~ ~ ~ t~~ e~ `~~/~°!l7~ 1~~a <br /> (location and wodc description) <br /> Ge <br /> Project manager /contact /private engineer: ~®J~r' ~ o <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> t (length) (width) <br /> Sanitary sewer ~ Storm sewer 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 PROJ CT INFO. /.INTERDEPARTMENTAL WORK DESCRIPTION: <br /> teats ~-t~ c=-f c~ - v ~ - = <br /> j i; <br /> i <br /> I <br /> APPROVED: <br /> Project Manager Date ~ <br /> Principal Enginee Date~~ <br /> Facilities Manager Date- <br /> <br /> ! City Engineer i/~kQ Date ~ <br /> <br /> i <br /> <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK <br /> GL Title <br /> Assigned by Date <br /> r <br /> Accounting by ~ 1` ~ Date 1 °2 ~ ~ ~ <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 JANUARY 2000 <br /> <br />