New Search
o. <br /> ± PROJECT AUTHORIZATION FORM _ ~ a~ i Engineering <br /> Public Works <br /> City of Eugene <br /> ~ t 244 E. Broadway <br /> Eugene, OR 97401 <br /> t ~ ~ (541)682-5560 <br /> Service ID: ~ Z, ~ SID PB GL ~ JC ~ JE <br /> Project title: ~ " ~ dA~ ~ ~ ~ r~s~~ ° ~ ~ N , i~N rsnT <br /> (locate and work description) ~ ,1 <br /> Project manager /contact /private engineer: ~F/~ I F-~ ~ ~ ~ <br /> PROJECT SCOPE: <br /> Paving: ~d ~ G~tS ~ l~ ~ ~ Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> penprn) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> Witty' . Assessments Private Other department <br /> ¢j,~;~ ~ J,~ -~~O Account code <br /> Fed /State /County /arFAA 1 ~ ~ ~ ~~a fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> jti~ lLt'~ ~ E' t an r°,.t v cw r ~y f 0 U f ~ `~~n' f ~ cl C. <br /> APPROVED: - <br /> Project Manager Date ~ - 3 S ll <br /> Principal Engineer - Date v r <br /> <br /> y~ E~ciliiiss Manager ~ Date ~ <br /> ' ^ City Engineer f Date ' <br /> FO,+R~,/ USE BY ADMINISTRATnION ONLY <br /> Capital Project No. L ~ ACK ~ ~ ~ _ (~Xx~~ <br /> GL Title ~ C ~ Y IU IU ~ f ` ; I`'~'_ C'~ 1 ~ ~-~t~ <br /> Assigned ~ ) _ Date / <br /> t'~.....--~. <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 />