New Search
• ~~t ~ Engineering <br /> Ply, J~CT AUTHORIZATION FORM ~ r_ Public Works <br /> ~ City of Eugene <br /> <br /> } 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: t.~ ~ ~ SID~"~ PB GL _ JC _ JE _ <br /> Project title: f ~ ~ l t . t o 1<; w'j ~ ~ r r ) ~ - c tril rl.-, ~ , r ; . J i-~t I ~`1 ~ ~ 7 <br /> QocaGOn and work descnpbon) <br /> wy <br /> Plpjerimauager /contact /private engineer: s ; Mc~n LC 5~"~ `1 d i l ( <br /> PROJECT SCOPE: <br /> Paving: ( ) Bike lanes /paths: <br /> ( I <br /> Concrete walks: Setback /Curbside <br /> pe n) .ten) 4 <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDI G SOURCES: <br /> City Ass/essments Private Other department <br /> `~1 Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> -+r / <br /> - , <br /> APPROVED: _ <br /> Project Manager Date ~ c~',~{~---~-~._ <br /> Principal Engineer ~ Date <br /> Facilities Manager Date <br /> City Engineer - '~"%'t , Date 1~3 <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ~ ACK~.~_L `7 3~ 2- ~P~~X fC ~~0 ~ ~ O(Q' <br /> GL Title -~T ll-~ .~D,E+2Ft_ ceJ/4~ Xt~/'~/~1~&,c j ~ <br /> Assigned ~ ~ Date ~ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? 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 Map <br /> ? File Request Form <br /> ENG 415 WHITE/ Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />