PROJECT AUTHORIZATION FORM Engineering <br /> <br /> i Public Works <br /> <br /> i <br /> <br /> t <br /> <br /> i . <br /> City of Eugene <br /> "'"T"" 858 Pearl <br /> ' ~ Eugene, OR 97401 <br /> ' (541)682-5291 <br /> Service ID: SID ~PB "~GL JC~ JE <br /> Project title: ~c/ i`-' @s/{rr//pp q/~Q111~ J( / <br /> (location 1~ V L' V n <br /> 1 L V ~e ~+L r V .~~7~ j./~• Y V~` <br /> Project manager /contact /private engineer: l ~ ~ L~ J <br /> PROJECT SCOPE: t ? ~-7 ih~~-T <br /> Paving: 2-~ ` ~ v t I Z ! , Ike lanes /paths: ~ ~ <br /> (widths) ! (width) <br /> Concrete walks: Setback / urbside <br /> (length) (width,, N S. <br /> Wastewater ~ Stormwater ~-o" ):5,, ~C7 Landscaping <br /> Signal Street lights ROW required <br /> 5 Toi -'-ti~F 02 <br /> New building construction Planning, other P`pTOt~ ~ 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 /> ~o'I ~1/1- <br /> APPROVED: , <br /> Project Manager ~ ~ a Date s <br /> Principal Engineer Date! <br /> r~~ Q ~ <br /> Facilities Manager -~Z Date <br /> City Engineers z Date ~~~l~~z <br /> FOR USE BY ADMIN//ISTRjATION ONJLY <br /> Capital Project No. ~ ACK (!1 "~lpi~~~ ~ ~~~0 <br /> GL Title ~9-~l~ ~ ~ <br /> Assigned by u/ `C Date D~~~a ~ <br /> Accounting by ~ ~ Date ~ ~ ~ <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 <br /> File Request Form <br /> ENG 415 WHITE / Fnance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> <br />