New Search
.n.. _ <br /> + ~ <br /> pR~OJECT AUTHORIZATION FORM Public Work I <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> i ? / ~ (541) 682-5560 <br /> ' SID PB ~GL JC JE <br /> j Servfce ID: <br /> ~ ~'rojQct title: , <br /> (/ocalion aqd wodr descriplionJ <br /> ' G <br /> I <br /> I <br /> <br /> ~ Project manager /contact /private engineer: I <br /> I <br /> i PROJECT SCOPE: ~ <br /> Raving: ~~widlhsJ ~ Bike lanes /paths: (width) <br /> Concrete walks: ! Setbac /Curbside <br /> (/englhf (w/% <br /> hJ ~ <br /> ! Wastewater Stormwater Landscaping <br /> ~ i <br /> I Signal Street lights ROW required <br /> hJew 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 /> i <br /> 5 <br /> I ;I, <br /> j ! _ <br /> 1 APPROVED: <br /> Project Manager Date <br /> Principal Engineer "F' Date ~ I <br /> i Facilities Manage Date <br /> ~ ~ !City Engineer ` - ~ ~ ~ ~r'' ~ Date 5- 2 D - O~] <br /> FOR USE BY ADMINISTRATGI?ON ONLY t` ~ <br /> ~ z ~ / ~l~ ~ ~ ACK (JS~ Z ~C. 3rl ~~7 7 <br /> 'Capital Project No. <br /> w yr -~cc~-~J ~ is ~ <br /> ~ GL Ti <br /> ~ ` Assigne by Date <br /> r <br /> Accounting by Date <br /> I ;ATTACHMENTS: <br /> l ? Budget Estimate ? D veloper Agreement ? Engineer's Report On Improvement Petition <br /> ~ ? SDC Budget Worksheet gineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order [ ublic Improvement Permit Application ? Map <br /> ? Request for Scoping Meeting ~ <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />