PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~ c~,ys Ciiy of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> / / (541)682-5560 <br /> Service ID: ~ SID v PB ? GL JC ~ JE <br /> Project title: I ® 1~ Q ~ - ~ ~ <br /> Qocation and do nptio) A <br /> Project manager /contact /private engineer: ~t~c!"' ~ f v 1~~ ~l~- L~ l~ ~ S I <br /> PROJECT SCOPE: <br /> Paving: ~ ~ ~1~--~ Bike lanes /paths: <br /> (widths) ' (width) <br /> Concrete walks: S~ /Curbside ~ <br /> (length) ~~,-r~_p (width) i ~I <br /> Sanitary seweer~ Storm-serwe`rCt-~ 1 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 /> Fed /State /County /FAA fixed) <br /> COMMENTS / SP cIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 1 ~ t~~~~- .~i~ ,t ~ L'~C"~~~J <br /> APPROVED: <br /> Project Manager ~ Date <br /> Principal Engineer ' = ' Date ~ <br /> Facilities Manager Date <br /> City Engineer Date ~°~L"'`-'~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ "r"~ ~ ACK x~XX~ ~ <br /> GL Title ~ ~ ~-t"T~C-a.~ c~ J~P~a!• <br /> Assigned by Date i <br /> Accounting by Date <br /> ; ATTACHMENTS: <br /> <br /> . <br /> ? Budget Estimate ? 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 /> File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />