i <br /> <br /> W PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> ,G p_~~'~'bEugene, OR 97401 <br /> ~ ~ ~ ~ / ~ ~ ~F lT! (541) 682-5560 <br /> Service ID: ~ ° SID PB ~_L/GL JC JE ~ g~ <br /> Project title: ~ ~ ~ ~ 0~,~_ l~ ~ v ~ C~,~~ i.~.~ C~,a ~t'~ ~ ~ ~ 1 <br /> (/ocafion and walk desciiplionJ,~ ~y <br /> oject mana ~r /contact /private engineer: ~ ~ i' ~ ~ ~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widlhsJ (widlhJ <br /> Concrete walks: Setback /Curbside <br /> (/engthJ (widlhJ <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: x <br /> APPROVED: i f <br /> Project Manager Date 1 <br /> Principal Engineer Date ~ <br /> Facilities Manag Date <br /> City Engineer ~ Date ~ <br /> ~~~FOR USE BY ADMINISTRATION ONLY p-~ <br /> Capital Project No. ACK ~ ~ ~~s3 ~ ~L~7~-~cx ~7 ~S~~ <br /> GL Title ~ ~ ~ e ~ <br /> Assigned by ~ Date <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 /> ? Request for Scoping Meeting <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?ULY2004 <br /> <br />