_ _ <br /> i ( <br /> -J <br /> ~ U^;t ~ Engineering <br /> ~ PROJECT AUTHORIZATION FORM j~ Public Works <br /> 0 <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: SID ? PB ~GL~ JC JE (541) 682-5560 <br /> Project title: <br /> ~ Qocatio ~nd work description) . <br /> ' f / c. <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: r~~~ <br /> r ~ ~ / Bike lanes /paths: (~h) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> ~ Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> i <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> i <br /> ' i <br /> APPROVED: ~ <br /> Project Manager C Date <br /> Principal Engineer Date <br /> ' Facilities Manager ~ Date <br /> <br /> ' ! ' City Engineer ~ ^ . Date ~ / ~ G <br /> llF+,OR USE BY ADMINISTRATION ONLY 7t ~ <br /> Capital Project No. `'i `t~ ACK ~ 9~r~' ~ L.G' ~~?X X .~yt ~7''7~~J~ <br /> GL Title <br /> i C <br /> Assigned y i ~ Date / / <br /> i <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? j~eveloper Agreement ? Engineer's Report On Improvement Petition <br /> ~ ? SDC Budget Worksheet ~gineering 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 />