PROJECT AUTHORIZATION FORM <br />~/ <br />V <br />~ <br />Engineering <br />Public Works <br />Service ID: ~~ ~ ~ . <br />Project title: ~~~ ,P.~f/lil. 2°~s/Y/ il <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />/ / / , / ~ (541) 682-5560 <br />SID VPB _ GL `~JC ~~ JE <br />. . _~ <br />Project manager / contact / private engineer: <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br />(widlhsJ (widlhJ <br />Concrete walks: Setback / Curbside <br />!' (/englhJ ~d~hJ ~~ <br />Wastewater ~ Stormwater ~ Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />City Assessments <br />Fed / State / County / FAA (%, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />APPROVED: <br />Project Manager_ <br />~ <br />Principal Engineer <br />Facilities Manag~e <br />City Engineer~'~,-~ <br />-~, ~r,.~ <br />Private Other department <br />Account code - <br />Date 2 • <br />Date 2 5 - <br />Date <br />Date ~~°%? <br />G` <br />~v <br />i <br />:%.-~, <br />~ <br />~- <br />:.> <br />u°; <br />~~ <br />L <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /ULY2004 <br />ATTACHMENTS: <br />^ Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />^ SDC Budget Worksheet [~rgineering Agreement ^ Engineering Service Work Request <br />^ City Engineer's Initiating Order ~ublic Improvement Permit Application ^ Map <br />^ Request for Scoping Meeting <br />