- <br /> PROJECT ~?UTHORIZATION FORM Pubi~wo 9 <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: ~ SID_ PB _ GL _ JC ~JE _ ~'IL. <br /> Project title: ~~Oe° ~1~Y ~ ~ Q..C ~}"T10 ~ ~ ~ `tv ri ia~a~a <br /> (location and work description) <br /> Project manager /contact /private engineer: ~~~~.i ~ 1 4e. D ~ ~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> Qength) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> <br /> ~ City Assessments Private Other department <br /> <br /> i <br /> <br /> j Account code <br /> Fed /State / Co my /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> s <br /> APPROVED: <br /> Project Manager Date ~ -Z~ <br /> Principal Engineer Date ~ ` ~ <br /> Facilities Manager Date <br /> Ciry Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> _ X33 <br /> Capital Project No. ACK ~ 933 ~Xxku ~3.;o~t~' <br /> GL Title aQO3 PCcV~m~" /"~'~5V'yh1 ~n~' <br /> Assigned by Date ~ ° a~ <br /> Accounting by Date 2' ZT ~~3 <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 Order ? Public Improvement Permit Application ? Map <br /> ? File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />