i <br /> i <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 858 Pearl <br /> / Eugene, OR 97401 <br /> i91 (541) 682-5291 <br /> Service ID: SID PB GL JC _ JE <br /> ~ Project title: <br /> (location and d d ~pn " <br /> I s' <br /> Project manager /contact /private engineer: ~~S ~ <br /> i <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (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 i Lys Assessments Private Other department <br /> Account code <br /> Fed /State / Coun /FAA ~ 'W ~I~ ' ~ ~ ~ o <br /> (/o, fixed) <br /> <br /> i COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager Date ~ ~ ~ <br /> P 'ncipal Engineer Date ~ <br /> ~aeifi#+es Manager Date ~ ~ <br /> City Engineer 9 Date ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ~ ACK ~ ~ ~~~C~Cx ~ <br /> GL Title I ~ <br /> Assigned by Date ~ ` <br /> Accounting b ~ Date ~r~~~~ <br /> ATTACHMENTS: <br /> i ? 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 FEBRUARY2002 <br /> <br />