New Search
PROJEGT AUTHORIZATION FORM <br />~ <br />City of Eugene <br />, \0 244 E. Broadway <br />/' °~~ Eugene, OR 97401 <br />~ ~ ~~ ~ r/ /,.~, (541) 682-5560 <br />SID_ PB _ GL _ JC _ JE "~! <br />i ~~ ~ ~~4~t. ~ <br />Engineering <br />Public Works <br />Service ID: ~ ~ ~ ~ <br />Project title: ~ ~ <br />(location and work i <br />' Pro~e t mana / contact / private engineer: <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br />(~d«) ~widrn~ <br />Concrete walks: Setback / Curbside <br />Qength) (width) <br />Sanitary sewer Storm sewer Landscaping <br />Signal Street lights ROW required <br />-~c3 ¢.'~'~lr.~ <br />New building construction Planning, other 4'- + e ~1` Remodel <br />FUNDING SOURCES: <br />City ~ ~1 ~ ~ ~ ~ Assessments _ <br />~ ~c31~ „1 V`~~ <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / <br />~~ _ . _ .. . 1 , <br />AL WORK DESCRIPTION: <br />( %, fixed) <br />~~C~ f~i- ~ ~= <br />APPROVED: /~ <br />Pro ct Ma a er °" ° <br />. ~. S~~fi°~~ r ~~' <br />Facilities Manager~ ~ <br />Date ~~ ~ ~ " ~ ~'~~ <br />Date ~ ~ I ~ "'" Zb~j~- <br />Date <br />Date j °'~ /~'-o~ <br />~=<~~a~~~~~~? ,~n~-~:ES~- ~c~~ ~'~~~'~-.l~ ~ ( r g(c,~ t~ <br />FOR USE BY ADMINISTRATION ONLY ~ <br />CapitalProjectNo. `~~~~d~" ACK ~~~ ~~~ ~~'~~'~ ~~~~~ <br />~ <br />GLTitle _~~~ ~~~~ i~ ~~Y`\~ ~~~ ~ <br />Date ~ ~ ~ ~ ~ <br />Accounting by <br />Date <br />ATTACHMENTS: <br />- ^ Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />i ^ SDC Budget Worksheet ^ Engineering Agreement ^ Engineering Service Work Request <br />^ City Engineer's Initiating Order ^ Public Improvement Permit Application ^ Map <br />^ File Request Form <br />Private <br />~ ~ i.'%-= _ <br />s ~1 ---,~- <br />~-~:5-~~' ~--- <br />Other department <br />Account code - <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager JANUARY 2000 <br />