ff <br /> PROJECT AUTHORIZATION FORM Engineering <br /> ~ Public Works <br /> I <br /> City of Eugene <br /> V ~ 858 Pearl <br /> ~ ~ Eugene, OR 97401 <br /> N / (541)682-5291 <br /> Service ID: SID ~PB ~GL JC V JE <br /> i <br /> Project title: ~ ~ /~c~ <br /> (locatio d w°r descri tion) ~ ~ ~ <br /> ~ e 1 rn ~ ~ d~ <br /> Project manager /contact /private engineer: <br /> ~ PROJECT SCOPE: <br /> i Paving: Bike lanes /paths: <br /> <br /> I (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Wastewater Stormwater 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 FO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> Nt T o ~ <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engine Date b2 <br /> Facilities Manager Date <br /> City Engineer Date ~~'3`®`~ <br /> FOR ~JUSE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ / ACK ~ 9~~~ (~~xxX <br /> GL Title (P~ ~v~' ~ ~ ~ ~-N <br /> Assigned by ~._s~~~~2 Date ~ <br /> Accounting by ~ ~ Date """ate <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 Orderpublic Improvement Permit Application ? Map ;'1~ <br /> ~iFile Request Form ~~ll <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> <br />