.PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> - ` 1// (541) 682-5560 <br /> .Service ID: SID" PB _ GL _ JC _ JE ~ R" <br /> Project title: [~~q~ r~~e/~~c~/~y_/~ ,/~'~-y~ ~ f <br /> (locatio/ V Fv/n ` e. if ~ ! ~ V V ~f ! '~-r~ c~ li t ~ ~~1~, ~~1~ .~L ! <br /> Project manager /contact /private engineer. .~,~1 ~ ~01/~~--~.~ / ~ c.~ ~r/~P~'~,/~_,~~~,~~/' <br /> `7 <br /> PROJECT SCO ~:r <br /> Paving: ~ ~ `~a y~~ Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: etback / urbslde <br /> anitary sewer Storm sewer Landscaping <br /> ~FI ~ <br /> I Signal Street lights- ~l° <br /> ~ 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 /> ~ SL.A-~t'~ .v16 <br /> ~ _ <br /> <br /> i <br /> APPROVED: <br /> ~ Project Manager Date ~ _ <br /> Principal Engineer Date <br /> Facilities Manager Date- <br /> City Engineers-~ ~ Date ~ _ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. J ~~D38 ACK ly3l ~ 330 loKXkx Tl~3d <br /> GL Title ~~T ~/~'f <br /> ~/s J~ C ~~GC.2~ <br /> Assigned by ~ Date j ~ ~ 1 b` <br /> Accounting by Date ~ ~ <br /> k <br /> ATTACHMENTS: ~ <br /> ~ ? Budget Estimate ? Developer Agreement ? Engineer's Report On I ove~m~e~nt~Aelitio <br /> ? SDC Budget Worksheet gineering Agreement ? Engineering Service W Reu~S~ <br /> ? City Engineer's Initiating Order ublic Improvement Permit Application ? Map <br /> File Request Form <br /> C e . . <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ,iArvCiAF i 2000 <br /> <br />