PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> r?GeSS GCk,W~ City of Eugene <br /> 244 E. Bro <br /> adway <br /> / Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: SID_ PB _ GL _ JC ~ JE _ <br /> Project title: ,~~I: L'~~IY ~7L~ j~'~ <br /> (location and work description) <br /> Project manager /contact /private engineer: ~I~l~ 1~~~1 ~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <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 /> FUN ING SOURCES: <br /> City~~~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: b'`~ / <br /> Project Manager ~ I Zq dl Date ~iir <br /> Principal Engineer Date I -Z~ <br /> Facilities Manager Date <br /> City Engineer Date S-Z(o <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. v' Or 3~2" ACK ~ ~ ~ g335 X k~9C k t 53.2. <br /> GL Title U).t?Vt S 'tJ,SL Crf~ o~Lerv <br /> Assigned by Date I 3 ~ DJ- <br /> Accounting by Date 3 ~ ~ ~ <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> <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 JANUARI" avvu <br /> <br />