PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~ City of Eugene <br /> 858 Pearl <br /> Eugene, OR 97401 <br /> (541)682-5291 <br /> I Service ID: ~ SID PB ~L ~JC = JE <br /> Project title: V V ~t~~~__ I~W~.I~ ft <br /> (lo d wo des np6on) <br /> b ~ ~ <br /> Project manager /contact /private engineer: ~ ~ ST"~1~1 <br /> I <br /> PROJECT S ~ <br /> ~PE:~ ft _ t ~ ~ <br /> Pavin <br /> g~ (widrns) Bike lanes /paths: <br /> (wrdrn/ <br /> Concrete walks: Setback /Curbside <br /> ~ ~(l~ngrh) (~;~th) <br /> Wastewater r Stormwater ! Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other 2~0~-""{~--~ Remodel <br /> I <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> I COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> e <br /> k <br /> <br /> i <br /> APPROVED: <br /> Project Manager Date ~ d Z <br /> Principal Enginee Date ~ <br /> Facilities Manager Date <br /> City Engineer b~---~ Date 6 Z~I <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ACK ~oY~3c pC ~~S~C7'~-~ <br /> GL Title Z.ef L/~i ij~~' ~ <br /> Assigned by Date <br /> Accounting by ~ ~Z,. " ~',e Date ' ~ ~ Q <br /> ATTACHMENTS: <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 `~ublic Improvement Permit Application ? Map <br /> ~ile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> <br />