~ PROJECT AUTHORIZATION FORM p Engineering <br /> ' Public Works <br /> i i <br /> I - <br /> City of Eugene <br /> ~ ~ ~ 858 Pearl <br /> ' ~ ~ ~ ~ Eugene, OR 97401 <br /> . ~ ~ ~ lJ~`'~, / (541) 682-5291 <br /> I Service ID: SID PB GL JC lll!!! JE <br /> Project titl ~~L ~ ` ~ ~ ~ <br /> (laca "en nd work c p io) <br /> E <br /> i Project manager /contact /private engineer: ~ V C~~.- <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> <br /> j Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Wastewater _ Stormwater ~ ~ 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 /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED:' <br /> Project Manager ~ Date - <br /> Principal Engineer Date ~ ~ <br /> Facilities Manager Date <br /> City Engineer Date ~ <br /> F~dOR OUSE BY ADMINIS/T~RATION ONLY s~ <br /> Capital Project No. ~7`T®~D® ACK 10~~ ~~~xX ~ / ~p(~ <br /> GL Title ~ ~ I1S T <br /> Assigned by Date s~~/~ <br /> Accounting by ~ ~ Date ~ ~ ~ <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 Public Improvement Permit Application ? Map <br /> "E~iFile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY 2002 <br /> <br />