New Search
4 ~ <br /> ~~1 ~ , ~ <br /> ! ~ <br /> ' ~ <br /> i <br /> i PROJECT AUTHORIZATION FORM ~~~c,,v-------- Engineering <br /> 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 JE <br /> I e <br /> Project title: P!'T Z OD s 1~' yw+-r ~ a,„,, -T'~ y Qd R-T` <br /> i (/ocat nand work descnplionJ w <br /> I _ (rte <br /> Project manager /contact /private engineer: ` ~~-1 ~ q ~ I N '~j <br /> I <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> /widths/ (widlhl <br /> Concrete walks: Setback /Curbside <br /> (/englhJ ~widlhJ <br /> I Wastewater Stormwater Landscaping <br /> I <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> G' 07 A~ Account code <br /> ' Fed /State /Count / A~A ~ 7 ~ <O ~ Q /T/ Yr7Pt`t'- <br /> . y C~„~ ~~~5 fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> I C A O ,Q,T SQ_f V.Z.. S ~ ~ OCR <br /> ~ .'~"y APPROVED: <br /> Project Manager ~ Date ~ d s <br /> Prancipl1~l ~ngttieer Date <br /> ~~Fe~eiiiltee'"Ivlanager ~ Date ~ ~ J` <br /> City Engineer / Date ~ y j <br /> I <br /> FOR USE BY ADMINISTRATION ONLY <br /> g5s12.2 J~ <br /> Capital Project No. ACK~~~ <br /> ~~3~ LPX3CX~( Q~~~' ~ 22 <br /> GL Title`' ~ t/ r"l (r1 ~ r r <br /> ~ ! Assigned y Date ~ ~ ~ <br /> ~ i <br /> Accounting by Date <br /> i <br /> <br /> { ATTACHMENTS: <br /> I ? 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 /> ? Request for Scoping Meeting <br /> <br /> i <br /> <br /> r <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> _ ~ <br /> <br />