~ <br />PROJECT AUTHORIZATION FORM ~~~ Engineering <br />Public Works <br />~ City of Eugene <br />~r ~ 244 E. Broadway <br />, ,% ,~j Eugene, OR 97401 <br />Service ID:_ ~~~ ( ~ SID " PB ~GL ~JC ~~E~ ~541) 682-5560 <br />Project title: ~~~~ ~Q/4,~ f/~/i° ~~i9-/,e <br />(/ocation and work descriptionJ <br />>~/d~l~s'i~~il~ic C'~G1Sr f,~i~/1j ,S'~'or~~ or~ r~..Po,d~~'~ - e1.~.~..5~~.~r~ ~~i~-i/~ <br />Project manager / contact / private engineer: ~.1.1 ~~f~~ i~ic.~/j~f~d'~l <br />lr <br />PROJECT SCOPE: <br />Paving: s~ ~/~~ ''`~ 6U %~~//~ ~G~~;~'f~ Bike lanes / paths: ~~T <br />~ (w~dras) (widrr,~ <br />Concrete walks: `~~ ~~~~ ~ Setback /~s+~e ~~% <br />(/englh) (widlh) <br />Wastewater ~_~~l,~~~ Stormwater ~/%k'/~~1~5 ~IJ ~,~°~.~ Landscaping ~ ~~ ~ ~~ <br />Signal 0~~~ ~P~P c~`'~L=~1 Street lights ~~~ ROW required ~d~~ <br />New building construction ~~~ Planning, other /v~~ Remodel ~~~ _ <br />FUNDING SOURCES: <br />City ~~~~ Assessments Private <br />Fed / State / County / FAA <br />( %, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />eAl~~ c~. ~G~l`~lYJ Gi//C /°.r/`D~F'~ ~('~?-hL~/~' T~ ~iv~l~s~%~if/~"~/~ iPG~/~/~1~' <br />_ ~CrJ~~7f'~i~C~ ~flf~,~Lfl~4o: ~~.f'.~° /~~ ~/1c~~3~J'~/C>Gr1~~ iP~~~4ir' e~~~~i~6'~ <br />APPROV <br />Project M <br />Principal <br />Facilities <br />City Engii <br />Other department <br />Account code - <br />Date ~'3/-D~ <br />Date 7 ° ,2~ ~1~ _ <br />Date ~~ _ <br />Date _, ~ ~ <br />Capital Project No. <br />GL Title ~ <br />Assigned b ~ <br />Accounting by _ <br />Date <br />AT~T"ACHMENTS: <br />[~Budget Estimate <br />~; . <br />~ ^ City Engineer's Initiating Order <br />^ Request for Scoping Meeting <br />ENG 415 WHITE / Finance <br />FOR USE BY ADMINISTRATION ONLY <br />"1'~~~ I `'i' ACK ~~~ ~~JJZ C.Q ~ . CJG, <br />71A.8--ct (~ ~~ ~~ ~ ~ ~._L ~ <br />Date ~ ~ ~~ <br />^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />^ Engineering Agreement ^,~ngineering Service Work Request <br />^ Public Improvement Permit Application B~ Map <br />YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager JUL Y2004 <br />0 <br />~ <br />~ <br />c~ <br />c~! <br />G <br />~ <br />c~ <br />~~ <br />c, <br />c-, <br />~ <br />c~ <br />