New Search
PROJECT AUTHORIZATION FORM <br />~~ ~ <br />~ ~ <br />Engineering <br />Public Works <br />City of Eugene <br />~ 244 E. Broadway <br />t~ / Eugene, OR 97401 <br />Service ID: "t'Z~~~ SID °~ PB ~ GL ~JC ~~\ ~541) 682-5560 <br />_ JE _ <br />Project title: ~~~C,i IZ~ ~C7p~~ ~; ~ ~ ° `~ ° '°" <br />(iucviion and woik o`escilptionJ <br />Project manager / contact / private engineer: _ ~D~ ~ ~`1~~ ~, ~~ <br />PROJECT SCOPE: <br />Paving: Z~ ~~Wdr~ Bike ~anes / paths: <br />Concrete walks: ~ _ ~W~arh~ <br />(/engthJ ~ Setback / Curbside <br />Wastewater 1(W%drn/ <br />Stormwater _ /~~~ Landscaping <br />Signal Street lights ~~~ ROW required ~~ r~'~°° <br />New building construction Planning, other ~"~ 1~S Remodel <br />FUNDING SOURCES: <br />City / Assessments ~~ Private <br />~33 C.t~ <br />Fed / State / County / FAA <br /> <br />( %, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />~~:.~.at~:~~.~c.i ~e..~~~~. ~Dr~.~ ~t~ ~--~z-~c.~~t~s. ~ ~~`~~~ ~;~~er~s~.~~'" <br />~~~~~~ ~'~z.ar~ `i~c~~~ ~.°~ ~r-~ ~'e.~.~~ ~~ ~~~a~rz.c z~~ te~r~ ~~ ~~,. <br />~ f~~ ~i~ t~3 e~ <br />( ~ f~s~.~ i~ P~2.CX'' ~~ i lt`~ZY~t~C~ V-} S~i ~r+( ~`r~~~I ~~- i~ ~~rr ~ ~ <br />c~ ~a wt 1 Ce~ r~ ~@~-`f~J _~~.s Y ~~1 ~ Od F. ~ ~ ~? ~ _ ~ - - <br />APPROVED: ~ <br />Project Manager Date <br />Principal Engineer Date ~ ~-~'' ~~ <br />Facilities Manager ~, Date <br />City Engineer - Date ~' ~' _~~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. B ~ ~ ~~ "~ ACK c~ ~ ~ ~~3~ ~~G,GSG ~{,~ ~ ~ ~j ~ <br />GL Title ~~~L` ~'t.~. Yc_.~„ '~°-~ , t ,`~--~ <br />~ v <br />Assigned by V ~~ Date ~ ~~~~ <br />~~ <br />Accounting by Date <br />ATTACHMENTS: <br />- [~j" Budget Estimate ^ Developer Agreement <br />~" ^ Engineer's Report On Improvement Petition <br />~ ^ SDC Budget Worksheet ^ Engineering Agreement ^ Engineering Service Work Request <br />^ City Engineer's Initiating Order ^ Public Improvement Permit Application C~Map <br />^ Request for Scoping Meeting <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />Other department <br />Account code _ <br />c <br />c~ <br />i <br />N <br />C_~ <br />1 <br />~ <br />cr <br />~ <br />L <br />~~ <br />SV <br />