PROJECT AUTHORIZATION FORM ~ Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> ~ ~ ~ ~ Eugene, OR 97401 <br /> Service ID: (541) 682-5560 <br /> SID_ PB _ GL _ JC _ JE _ <br /> Project title: Wt/lN S+~ee.+ L.~q~'i~ ~~b~g~,t <br /> (location and work description) <br /> Project manager /contact /private engineer: ~~`I a rt G e.H p veS~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (width) <br /> Concrete walks: Setback /Curbside <br /> (length) !width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights X ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> G D ~ ~ Account code <br /> Fed /State /County /FAA ~''q2 . ZSO~ fixed) <br /> COMM TS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> .~N . <br /> /~i~s r e a~ ua~es ~e / ~1.~ oti <br /> ~ . ~ ~ Ley ' en' /V b <br /> ~ .1, <br /> e ~ ~ <br /> ~,,,~i'di • .7P~/ 6y Ta[ S~~ ne; lea of ~Ph <br /> APPROVED: <br /> <br /> ~ Project Manager Date ~ -3 <br /> Principal Engineer Date ~ <br /> f~~ <br /> Facilities Maria er <br /> 9 Date <br /> City Engineer Date v <br /> FOR USE BY ADMINISTRAnTION ONLY n <br /> Capital Project No. I'{'t'~' ACK I ~ ~ 33~ ~kXX~ "I <br /> G L Title u ~ ~"Y ~J <br /> Assigned by Date <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 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 />