~ <br /> " En ineerin <br /> PROJECT AUTHORIZATION FORM t~""~ g s <br /> Public Works <br /> I <br /> ~ City of Eugene <br /> <br /> I ~ 244 E. Broadway <br /> <br /> i <br /> <br /> ~ ~ y/ ~ (541) 6820- <br /> 560401 <br /> Service ID: _ ` ' rr SID PB ~GL JC JE <br /> Project title: ~W? ~ ~C~ 6' ~~l ~~®1tia C¢y ro ~ ° ~ <br /> (location and work desc~iptionJ ~ <br /> i~ <br /> Project manager /contact /private engineer: ~ Q P i q U ~ ~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (wid/hsJ <br /> (widlhJ <br /> Concrete walks: Setback /Curbside <br /> (length) (widlhJ <br /> Wastewater Stormwater Landscaping <br /> Signa ~ + Street lights ~ ROW required <br /> ~ ~ J <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assesslments Private Other department <br /> 5~ruic.es u,~~ivpt~~x-~."~ Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> D i ~ L ~ c~+"~-t <br /> f Q k <br /> 1 ~ S+° t~ Psi. d`d~ ~ Ir <br /> a~ <br /> APPROVED: <br /> Project Manager ~ Date <br /> Principal Engineer Date ~O ! ~1 ~ <br /> Facilities Manager Date <br /> City Engineer Date d t`"'" <br /> FOR USE BY ADMINISTRATION jO__NLY y <br /> Capital Project No. ACK [.P~O~~ ~~`-C <br /> GL Title l."'~~i'h'E~ 1~ ~~'1F",~~~'~' V1 C(~ <br /> Assigne b~~ ~ 1 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 /> ''Request for Scoping Meeting <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?ULY2004 <br /> <br />