_ <br /> , <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> i <br /> City of Eugene ~ <br /> 244 E. Broadway <br /> ~ Eugene, OR 97401 <br /> j / ? (541) 682-5560 { <br /> Service ID: ~ SID PB ~GL VJC JE r' <br /> i Project title: ~I <br /> Lion and work description) <br /> A <br /> ,Project manager /con ct /private engineer: <br /> i <br /> i <br /> PROJECT SCOPE: ~ <br /> Paving: Bike lanes /paths: <br /> (widths) (width/ <br /> Concrete walks: Setback /Curbside <br /> ~ I (/engthf (width) <br /> Wastewater ~ Stormwater Landscaping <br /> Signal Street lights ROW required <br /> I <br /> ~ New building construction Planning, other Remodel <br /> i <br /> FUNDING SOURCES: <br /> I City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> 'COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 'As`. <br /> ii x <br /> I <br /> 3 ,.ki <br /> ~eeY'. <br /> .:T"~ 4 <br /> yvL S{ <br /> 1 ~ APPROV~b: <br /> h Project Manager ~ Date <br /> Principal Engineer Date <br /> i Facilities Manage Date <br /> ' City Engineer , . ~ Date (i <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ~ ~ ACK t'O 3 ~ "1 3 S ~ ~~~X ~ ~ Y ~ ~v <br /> l <br /> GL Title ( <br /> f ~ l~ <br /> ' i Assigne by Date <br /> [ Accounting by Date <br /> i <br /> <br /> ~ ~IOt~ <br /> ATTACHMENTS: <br /> ~ ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ~`~hgineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order PUbIIC Improvement Permit Application ? Map <br /> ? Request for Scoping Meeting <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />