. <br /> - <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ' City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~ / (541) 682-5560 <br /> Service ID: SID_ PB _ GL - JC _ JE _ <br /> Project title: ~i <br /> (/aca bn and work descdptignJ <br /> ^ ) <br /> Project manager /contact /private engineer: GL~,d Q ' , ~ i/v l/ <br /> <br /> ' PROJECT SCOPE: <br /> Paving: ~ S Bike lanes /paths: <br /> (wroYhsJ (width) <br /> Concrete walks: ~ (~drnl Setbac urbsid~ <br /> Wastewater Stormwater Landscaping v1~g <br /> Signal 5treet lights ROW required <br /> New building construction Planning, other~~" d ~ ~ ~ Etereede!- S R d~ <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State !County /FAA fixed) <br /> - COMMENTS /SPECIAL PROJECT INFO. !INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manage Date ` <br /> Principal Engin er ~ ~ Date <br /> Facilities Manager. > Date <br /> City Enginee -=~l, Date J ~O ~ <br /> ~ ( (F/O,~(R~ USE BY ADMINISTRA(~TION ON /LYE Y <br /> Capital Project No. ""7 lK1 `-C~ AC ~ ~ ` ~ ~ 4u"~ <br /> GL Title <br /> ' <br /> Assign d by Date ~ <br /> Accou ting 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 Inifiating Order ®Public Improvement Permit Application ? Map <br /> ? Request for Scoping Meeting <br /> 1 <br /> <br />