PROJECT AUTHORIZATION FORM <br />~ <br />~ <br />Engineering <br />Public Works <br />Service ID: ~~ ~~~ SID 1~" PB " GL ~ JC ~E <br />Project title: :~,~ ' '- ~` t ~ 0. ~ ~C-~'~ . ~~ ~ : J~ <br />(/ocation and work desciiptio <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />(541) 682-5560 <br />a <br />' ~~ ~ <br />Project manager / contact / private engineer: ~~-'T~ ! C1~ ~~~~~ ~ ~ ~~ <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: <br />(/engthJ <br />Wastewater <br />Signal <br />Bike lanes / paths: <br />~w~arn~ <br />Setback / Curbside <br />(wid~l a` f / <br />Stormwater ~ ~~ ~' ~l ~ Landscaping <br />Street lights <br />New building construction Planning, other <br />ROW required <br />Remodel <br />FUNDING SOURCES: <br />City Assessments Private Other department <br />t"~~~~~ ~ ~ Account code - <br />Fed / State / County / ~AA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />APPROVED: ~~ <br />Project Manager Date ~ ~~ ~ ~ <br />Princi ~r ngineer Date ~`~~`~~ !. <br />Manager~~~ ,~ " Date ~~'- <br />~ <br />City Engineer, ;.~~r~$-• - - °`~ Date ~?~'P~ .~ <br />-~ <br />~-: <br />~;~: <br />:~~: <br />AT ACHMENTS: <br />t Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />`~ - ^ SDC Budget Worksheet ^ Engineering Agreement ~,^~, ~meering Service Work Request <br />^ City Engineer's Initiating Order ^ Public Improvement Permit Application M~l" Map <br />^ Request for Scoping Meeting <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />