PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~ 5 S City of Eugene <br /> 244 E. Broadway <br /> / Eugene, OR 97401 <br /> ~ \ I i~/ / (541) 682-5560 <br /> Service ID: SID" PB ~GL _ JC 1! JE <br /> Project title: ~ ~ ~ ~ ~ t ~ ~ ~ ~ ~ 1 <br /> (location and o des ri tion) , ~ o, C_ <br /> Project manager /contact /private engineer: ~ ' __~4`~G~~/LA`S <br /> PROJECT SCOPE: <br /> Paving: _ T[~ ~~~~e~e ~~1 Bike lanes /paths: <br /> (widths) <br /> (width) <br /> Concrete walks: yY Setback /Curbside <br /> BLL~~~~~ i (length) ~ j (width) !1 <br /> ear Storm-neuter J~ Landscaping <br /> Signal _ "'Tt~~- 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 /> COMME'~N~TS / SP~CIAL~ ~O~JECT INFO. / INTERDE~~PARTMENTAL WORK DESCRIPTION: <br /> tV~~ <br /> s T <br /> APPROVED: <br /> Project Manager Date _ <br /> Principal Engineer Date <br /> Facilities Manage Date <br /> City Engineer Date- ~ <br /> FOR -yUSE BY ADMINISTj,~RATION ONLY <br /> Capital Project No. ~ x'39 r~ ACK ~~°3~ XX~XX <br /> GL Title ~ ~ ~~T~f®`e' <br /> Assigned by Date ~ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> <br /> Y.~ <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 /> ile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />