_ . <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> ~I J <br /> 858 Pearl <br /> <br /> 1 ` _ Eugene, OR 97401 <br /> (541) 682-5291 <br /> i <br /> Service ID: ~ ~ SID " PB ~GL JC JE <br /> Project title: 1'x'1 i''?'1 i ~'t/ ~ <br /> (l°cati0nandwodcde riptian), <br /> Project manager /contact /private engineer: ~f.~t.~t1 Y.'l ®~1°V15~t/ ~~t~ °r- <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 '~'lf,~(i~'i~b?'~ ROW required <br /> ~ New building construction Planning, other Remodel <br /> <br /> .f FUNDING SOURCES: <br /> City Assessments Private Other department <br /> j Account code <br /> fixed <br /> Fed /State /County /FAA ~ ~ <br /> G <br /> ~ COMMENTS /SPECIAL PROJECT INFO. / INTE DEPARTMENTAL WORK DESCRIPTION• ) ~ <br /> E <br /> j APPROVED: ` <br /> Project Manager Date ~ ~ <br /> Principal Engineer Date c,7~ <br /> Facilities Manager Date <br /> City Engineer-~ Date <br /> i <br /> I <br /> FOR USE BY ADMINISTRATION ONLY <br /> I <br /> y- <br /> Capital Project No. ~ ~ ACK i • ~ <br /> GL Tltle ~~~~°`~"1Y1't.i~ ~t~~t ~~,°~e- Q -rte <br /> ~ ~ <br /> Assigned ' ) Date <br /> Accounting by Date <br /> ~i <br /> ~ ATTACHMENTS: <br /> ~ _ ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> - <br /> 'I, ? SDC Budget Worksheet Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ubtic 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 />