PROJECT AUTHORIZATION FORM ~ ~ / Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: SID ~'`p6 ~ GL ~JC _ JE _ <br /> Project title: ~ ~ <br /> (locati and work description) <br /> Project manager contact /private engineer:1.10!'1 Q ->l~ !-+'ivt Liu ~'~S ~Q~~ <br /> PROJECTS OPE: <br /> ' Paving: Bike lanes /paths: <br /> ' (widths) (width) <br /> Concrete wal s: etb /Curbside <br /> (ienern) (widin) rr <br /> Sanitary sew r ~ Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building onstruction Planning, other Remodel <br /> FUNDING SO RCES: <br /> City Assessments Private Other department <br /> Account code <br /> f Fed /State / ounty /FAA fixed) <br /> COMMENTS / S CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> I <br /> I <br /> APPROVED: <br /> Project Mana er Date <br /> Principal Engi eer Date <br /> Facilities Man get Date <br /> City Engineer Date <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Projec No. ACK <br /> i <br /> ~ GL Title <br /> <br /> i <br /> <br /> i <br /> Assigned by Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimat ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ~ ? SDC Budget W rksheet ,~E ineering Agreement ? Engineering Service Work Request <br /> City Engineer's nitiating Order Id"Public Improvement Permit Application ? Map <br /> ? File Request Fo m <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> ~I~2~f <br /> <br />