. <br /> PROJECT AUTHORIZATION FORM Publ c Wor 9 <br /> City of Eugene <br /> 1. l,~ ~S 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: "~y~°'' SID ~ PB X GL X JC ~ JE _ <br /> Project title: HOC /c? l~ /-'/~~?r~~rl~ ;~'c~~~re0 fran _ <br /> (location and work descri lion) <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: X' Bike lanes /paths: ~ <br /> (widths) (width) <br /> Concrete walks: ~ Setback /Curbside <br /> pengrn) (widrn) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal ~ Street lights ~ ROW required X <br /> New building construction Planning, other ~ Remodel <br /> FUNDING SOURCES: ~~pj G(,~(/ <br /> City u Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date ~ I Z- zt/rc~ f <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. -1 ~ ~ ACK J~ ~'~-~"'j k x~ X X l 1 ~ Ly <br /> GL Title ~UQ~ ~~-lrtt~ - C_~p /-~lft'Ir'JIr <br /> ~ `~1 ~L)/ <br /> Assigned by Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> <br /> ~r' 4 ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> ? File Request Form <br /> ENG 415 WHITE /Finance YELLOW !Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />