PAF4368 - Laserfiche WebLink

New Search

~~3 Engineering PROJECT AUTHORIZATION FORM Public Works ~ City of Eugene 244 E. Broadway Eugene, OR 97401 _ ~ ~ (541)682-5560 ~ SID_ PBS GL"~ JC ~JE Service ID: Project title: (location and work description) J Project manager /contact /private engineer: ~1 *'i, ~ .1 ~o C'. r' PROJECT SCOPE: Paving: Bike lanes /paths: (widrn) (widths) Concrete walks: Setback /Curbside pengn~) (widtn) Sanitary sewer Storm sewer Landscaping Signal Street lights ROW required New building construction Planninng, other Remodel FUNDING SOURCES: i ~ ~ ~ / City _ Assessments Private Other department K' , ~ ~,F ~ it sc-t Account code Fed /State /County /FAA fixed) COMMENTS / SPECIAL) PROJECT INFO. /INTERDEPARTMENTAL WORK(DESCRIPTION: t r ~ 1 ~r i M"" (P i i ~.'t~~ y^ T t'.~}4 ~ P f ~`r C~ t i 1 r a C v r r ~ C`~ r ~ C t" t o .,,n r wt P' ~I ~ f , +Yt C' ~ P S C n ~ _ ~ ~ t E ~ . v ~ ~ f 7 ~ VT ~ y t (J (P P r. 1 f..., A f 1f' ~ ~1 L+ ' I C } O~ A / 1 ' t r f~ APPROVED: r ~ i ~ ~ Project Manager ~ - " Date , Principal Engineer Date Facilities Manager Date Ciry Engineer Date / I FOR USE BY ADMINISTRATION ONLY Capital Project No. ACK ~ ~ ~ ~ ~ ~ ~ X X f7~~ GL Title 1~ ~ 5 (l~ 1 Assigned/by, ~ ~ - Date --j ~ f - Accounting by Date ATTACHMENTS: -~~1~-~~~~~ ~ g ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map ;,~1 File Request Form ENG 415 WHITE /Finance YELLOW !Administration. File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 1 'i-~'~~, c~}