PROJECT AUTHORIZATION FORM ~ ~ ~J Engineering <br />Public Works <br />City of Eugene <br />~r 244 E. Broadway <br />~' ' Eugene, OR 97401 <br />Service ID: ~~ ~'~ SID~ PB V GL ~ JC ~ JE _ ~541) 682-5560 <br />Project title: ~~ ~ ~ l~rC~~~ ~~~ ~~~~,~~ j~~y.~ ~7-~ <br />y~-~~/Y! G'.~ / J <br />(/ocafion and work descriptionJ <br />Project manager / eo~ast / }~~ate-e~iae~ ~~I//~ ~/~~ <br />PROJECT SCOPE: ~ <br />Paving: °~~ <br />r, . <br />~`~ <br />Bike lanes / paths: ~/~~~C~ <br />i (w~drn~ , <br />Concrete walks: `~/~~/E.S ~e#~el~/ Curbside ~ '" ~ <br />(/engfhJ (widlhJ <br />Wastewater ~4 Stormwater ~~=~'%~C.~ Landscaping ~~ <br />Signal ~~ Street lights ~~~ ROW required ~~/~CE <br />New building construction .~~ Planning, other Y~s Remodel ~~~~~7"~s"'~°~ <br />FUNDING SOURCES: <br />City _~_ Assessments Private Other department <br />3 ~~~~~ Account code <br />Fed / State / County / FAA (°/o, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />~.~°/Si /~i.-``~ S~''~''/v"~~~ /~/~~' ~f~7' ~e~'l~ S, 1~%L.~.~C< ~f~~ ~~iT~,.S ~" <br />S~'~/~wJ.Q.J R~.~-.4d>, r'.~i/~.er~-1/d,~s~ ~ ~'.~~~.~?.kti'i~' /°.~.ry .ae~.~l~.+> ...,_ .r°r~'°"oJ~^sa s~a.?..~9.,~/,.~.-~.~ <br />O~l"F."~ ~~~ /~/ .'°.~_! /.~~''~ 6 ~A~Lf% ~ /a'"f~~%~~i~(~'~C~3 ~ <br />APPROV <br />Project M <br />Principal <br />Facilities Manager <br />City Engineer~ <br />Date ~ ~~~ ~ <br />Date ~~ <br />Date <br />Date '~ j~ ~ "~7 <br />FOR USE BY ADMINISTRATtON ONLY <br />Capital Project No. ~~ ~ ~~ ~ ACK ~ ~'~ "' 7 3~ ~ '~ CtFx,~,!~,~ - ~ ~ "~~.:.~~ ~ <br />GL Title ~! ~`~' ~- Ut C~ w~ .e t`~-~ .~h~~__T~~ <br />Assigned by <br />Accounting by <br />Date ~ <br />Date <br />ATTACHMENTS: <br />% ~Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />~ <br />^ SDC Budget Worksheet ^ Engineering Agreement ^ Engineering Service Work Request <br />^ City Engineer's Initiating Order ^ Public Improvement Permit Application ~Map <br />. .~~, ~~st for Scoping Meeting <br /><'~ <br />-s <br />i <br />iv <br />~ <br />0 <br />~ <br />~:- <br />w <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /ULY2004 <br />