rr a„ 7. r+lit , a e.. +£tic.+~.,6. •e ~+Wwaa. «.+w.. w _ ,..~..r: q.rvv -~µigv+w~.~ ~ +,s°r+w.-.+...~',,,w.i [~y,, .btc,,,,nst. <br /> . ' ~ ~ r _ ~ ~ ~ ~ ~ ~ - 11'.~ ....-i,~.---~ <br /> ~ ij~}' '1_ ~.~'.1 Engineering <br /> ~ " ROJECT UTHORIZATION FORM 't Public Works <br /> I ~ City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~ Rye'' (541)682-5560 <br /> Service ID: SIDS PB GL ~ JC - JE - <br /> Projecttitle: ~ <br /> (Iota io work descn ion) <br /> J <br /> Project manager /contact /private engineer: <br /> j ' PROJECTS PE: <br /> Paving: Bike lanes /paths: (width) <br /> (widths) <br /> Concrete wal Setback /Curbside <br /> penprn) (~drn) ~ ~ ' f Landscapin <br /> ' Sanitary sewe Storm sewer 9 <br /> Signal Street lights ROW required <br /> i <br /> New building onstruction Planning, other Remodel <br /> FUNDING SO RCES: r <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State / ounty /FAA fixed) <br /> COMMENTS / S ECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> { , <br /> I <br /> ` APPROVED: <br /> Project Mana er ~ ` - Date ~ <br /> Principal Eng nee Date <br /> Facilities Ma aggy ~ , Date ~ <br /> City Enginee " ~ Date ` ' I / <br /> I <br /> FOR USE BY ADMINISTRATION ONLY <br /> tt __11 <br /> Capital Proje t No. y~''~~ t..~ ~ ACK j ~d ~ ~ XIS ~ ~ -7 l / j <br /> <br /> i <br /> GL Title -y~- ~ e, ~ <br /> I i . ! ~ ~.1 Cam.. ~ / rl / < <br /> Assigne y Date <br /> Accounti Date <br /> k <br /> ~ ATTACHMENT <br /> ? Budget Estim to ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> i ~ ? SDC Budget orksheet r~ ineering Agreement ? Engineering Service Work Request <br /> ? City Engineer' Initiating Order b'Public Improvement Permit Application ? Map <br /> ? File Request orm ~ ~ ~ a--a~ <br /> i ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> I ~ <br /> I <br /> <br />