PROJECT AUTHORIZATION FORM <br />~~ <br />s ~~- <br />/ <br />~ <br />- <br />Service ID: ~~~Z <br />Project title: <br />Engineering <br />Public Works <br />~°' Project manager ontact / private engineer: , <br />PROJECT SCOPE: <br />Jr. ~ <br />Paving: ~~ I ~ i e lanes paths: ~w~drh~ <br />(wioYhs) / <br />Concrete walks: ~~ Setback / Curbside <br />(/engthJ (widlhJ <br />Wastewater "' Stormwater Landscaping ~ <br />Signal "` Street lights ~ ROW required ~6 <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />City ~C Assessments <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PRd <br />Private <br />( %, fixed) <br />APPROVED: <br />Project Manager_ <br />Principal Engineer <br />Facilities Manager <br />City Engineer~ <br />Other department <br />Account code _- <br />Date ~ ~ <br />Date ' <br />Date _ <br />Date _ °l dG <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~~~~~~ ACK ~ I Z ~~~~ ~~~~ ~ 1~~~ <br />GL Title ~` ~ ~~ ~~~f~~- ~ ~ ~ ~ ~~°C~ ..J~~~~ <br />Assigned by <br />Accounting by <br />Date ~` ~` ~ <br />Date <br />ATTACHM ENTS: <br />~ Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />^ 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 JUL Y2004 <br />/ City of Eugene <br />/"J 244 E. Broadway <br />~~ Eugene, OR 97401 <br />~ ~ ;~j (541) 682-5560 <br />SID ~PB ~GL JC JE ~~ <br />