New Search
PRO~~CT AUTHORIZATION FORM ~ Engineering <br /> Public Works <br /> ~~r City of Eugene <br /> 244 E. Broadway <br /> / Eugene, OR 97401 <br /> ~ . / 1, ~ (541) 682-5560 <br /> Service ID: ~ SID ° PB ~GL ~JC _ JE <br /> Project title: ~ ~f Q I ~ tip y~ r~c.~ t ~ ~..r ~anca +r~ r ,.r ~a t ~a r° in t ~ ~ , t (c{ ~ ~ <br /> (location and rk description) r f <br /> Project manager /contact /private engineer: t d •~r ~ 1y ~ /y{ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) ~ ~ (width) ,-y <br /> Sanitary sewer Storm sewer c3~~q~au3~s[2~ Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: X ~1 ~1 ~'C~ZIv <br /> City .`•~~b~Z.n''t Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /;IN~TERDEPARTMENTAL,.~ORK DESCRIPTION: <br /> f ! <br /> % ( ~ ~ ~ ca... ~ ~ ~ c'; 1, S,,.k <br /> ~ ' V'~ i ` bJ 1 h~ ~ ~,,y„ {,....bra CAS ~ 'Y <br /> APPROVED: <br /> Project Manager, Date ~`t~~/ ~'Z <br /> Principal Engineer G~-~-=~ Date ' I ` I <br /> Facilities Manager ' Date <br /> Ciry Engineer ~ Date r~~r~ 114- <br /> •.,i~r~' FOR USE BY ADMINISTRATION ONLY ~~5 1~/~ <br /> Capital Project No. ~ ACK ~ ~ „~~,3~' (~'~Kk ~ 1 K~ <br /> ~ ,d <br /> GL Title T rl 'y . (~t--r <br /> u- <br /> Assigne by Date <br /> Accounting by Date <br /> AjT'ACHMENTS: - <br /> Budget Estirrjate Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? ty Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> L~'j File Request Form <br /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />