i~' <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> • City of Eugene <br /> 244 E. Broadway <br /> D ~ ~ / Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: SID_ PB _ GL JC JE <br /> ~rolect title: ~~21~ K ~y~N?. ~ lirl.t'~ <br /> (location and work description) <br /> Project manager /contact /private engineer: ~ 1~ U Ck~G~~"" <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 /> V11L M ~ ~{-~uv~ <br /> New building construction Planning, other '~G,hk Remodel <br /> FUNDING SOURCES: S~JIp <br /> City ~ 7J Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 5~ <br /> • e <br /> ~ <br /> t <br /> 2ao <br /> vK ~s <br /> APPROVED: <br /> Project Manager Date ~lLl~}-~ l <br /> H~* Date <br /> ~n-ifiti~7mag2t ~ Date <br /> /~1-- 2-5~ <br /> QDS D~~' Date <br /> FOR USE BY ADMINISTTRATION ONLY <br /> Capital Project No. ~ Z ~ (22 ACK ~ 31~ q ~ ~~2 ~xxXx q ~ ~ 2~ <br /> GL Title ~m,~S,Lv?1 t ~ ~w.~ ~t~o'n <br /> Assigned by I Date ~ Z~ O <br /> Accounting b Date ' ~ , <br /> ATTACHMENTS: <br /> ~j~~dget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ?~,SDC udget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ~l~fl~fy Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> ? File west Form <br /> ENG 4 ` WHITE /Finance. YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br /> . ~ , <br /> <br />