PROJECT AUTHORIZATION FORM <br />~ . <br />c> <br />Engineering <br />Public Works <br />~ City of Eugene <br />~ ~ 244 E. Broadway <br />Eugene, OR 97401 <br />(541)682-5560 <br />~ <br />Service ID: ~~ SID PB GL _ JC JE _ <br />Project title: ~ ~"~ -~ C' ~ ~~-'- r' ~ ~m p'~- <br />(/ocation and wo~k descnptionJ <br />Project manager / contact / private engineer: ~^~~1~-~-~~ ~i ~ ~~'~" ~` ~ .~(~' ~' (~G~ I Z~~SZ ~' ~f- ~'z' ~ ~AvC~, <br />PROJECT SCOPE: ~l'L'~~Y~~ I"~J1'r1~ ~rY11~- <br />Paving: ~Y-G~ 5f..~vr~ i'~`' <br />Concrete walks: <br />Wastewater <br />(/engthJ <br />Stormwater <br />(widlhJ <br />Signal Street lights _ <br />New building construction ~ Planning, other <br />Bike lanes / paths: <br />(widlhf <br />Setback / Curbside <br />Landscaping <br />ROW required <br />Remodel <br />FUNDING SOURCES: <br />City ~ Assessments Private Other department <br />~~ <br />~t~,ld~~ ~ ~~~ .._ ~3~ <br />Account code - <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />APPROVED: - $ - <br />Project Manager Date -~~~ ~ <br />Principal Engineer ~ Date `' 2- "' <br />Facilities Manager Date <br />City Engineer ~ Date ~ ~-d' <br />/ <br />Accounting by <br />Date <br />ATTACHMENTS: <br />,' Budget Estimate,f-~J~,'r~rnc~,rv~ ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />`~ SDC Budget Worksheet ^ 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 /ULY2004 <br />