New Search
i ; ~ v'~ <br /> ca~~ , <br /> ~ <br /> ~ PROJECT AUTHORIZATION FORM Engineering <br /> I Public Works <br /> i I <br /> City of Eugene <br /> ' 244 E. Broadway <br /> Eugene, OR 97401 <br /> I Service ID: f SID ~PB GL ~C~~ JE 11~ X541) 682-5560 <br /> J ~ Project title: ~ <br /> //oc fion and wodr descnptionJ <br /> I <br /> Project manager /contact private engineer: / /'Yt. GQS'.r~~(,~, <br /> ~~ROJECT SCOPE: ~ <br /> Paving: ~ U Bike lanes /paths: <br /> j (wioYhsl (wrdlhJ <br /> j Concrete walks: etback Curbside <br /> Wastewater ~ Stormwater Landscaping <br /> ~ Signal Street lights ROW required <br /> ~ ~ ~ <br /> I New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> I pity Assessments Private Other department <br /> Account code <br /> j Fed /State /County /FAA <br /> ( fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> j <br /> "f APPROVED: <br /> Project Manager ~ Date ~Z~'~? <br /> Principal Engineer ' ~o~~~~ Date s/•~ ~ <br /> j Facilities Manager Date <br /> j City Engineer - Date ~ 7~" <br /> I <br /> I <br /> F'OpR USE BY ADMINISTRATION ONLY q,~ <br /> 3 1 `"'t~ 0~ ACK ~3~I ~.OXX.XiL ~~uy~) <br /> Capital Project No. <br /> i <br /> ,Ct s5~ ~sf~-k S <br /> GL Title <br /> <br /> i <br /> Assigned by Date S 6 <br /> i <br /> Accounting by Date <br /> i <br /> ATTACHMENTS: <br /> Budget Estimate ? eveloper Agreement ? Engineer's Report On Improvement Petition <br /> <br /> ~ SDC Budget Worksheet ~ gineering Agreement ? Engineering Service Work Request ' <br /> <br /> ~ ~7 City Engineer's Initiating Order I~ <br /> Public Improvement Permit Application ? Map <br /> <br /> i ~ Request for Scoping Meeting ~ ~ V 3 <br /> LNG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> l <br /> _ _ - --I <br /> <br />