New Search
T ~ R <br /> ~ I ~ .~^."~~~,r <br /> ~~;'~,,r 3? Engineering <br /> PROJECT UTHORIZATION FORM t'-•!-{_-~- ~ l Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> I <br /> ~ ~ (541) 682-5560 <br /> Service ID: SID ~PB ~ GL~' JC~ JEt_ i <br /> 'Project title: ~ <br /> (location rid work description) ~ <br /> ;Project manager / ontact /private engineer: / c' fvl~"" ~.P~ l.rs"n-~"Q- <br /> I <br /> PROJECT SC PE: <br /> Paving: Bike lanes /paths: <br /> (widths) ~ ~ (width) <br /> Concrete walk : etb k /Curbside <br /> rr(length) (width) <br /> Sanitary sewer ~ Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building c nstruction Planning, other Remodel <br /> FUNDING SO RCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State / C unty /FAA fixed) <br /> OMMENTS / SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> 4 <br /> I - <br /> r ~ <br /> i <br /> ( ~ <br /> APPROVED: <br /> -~---t'~;,~ ~d ~ Date i ) <br /> Project Manag r <br /> I' Principal Engi eer ' Date <br /> Facilities Man ger Date <br /> City Engineer ~ / ( Date ~ (j G <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> i _ <br /> Capital Projec No. .-~r1 yu~ J ACK ~ ~j ~ ~ S j (p X X x X y y y c.~ <br /> GL Title • ~ -t d ~ ~ tr ~,U w <br /> / ~ ~ ~ ~ <br /> ~ ~ Date <br /> Assigned - <br /> Accounting by Date <br /> I <br /> ATTACHMENTS: <br /> i ? Budget Estimat ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget W rksheet Ineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order L7Public Improvement Permit Application ? Map <br /> ? File Request F rm <br /> i <br /> I ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 20D0 <br /> <br />