New Search
~ ~ <br /> ~ROJ~CT AUTHORIZATION FORM Publ c Wor <br /> k . <br /> City of Eugene <br /> 244 E. Broadway <br /> c~ tt ~ ~ (541) 6820- <br /> 560401 <br /> Service ID: / t SID PB ~GL _ JC JE ~ <br /> Project title: u ~ t 'u ` ' + ! '~J ~ C r~ A +~a s, <br /> (location and work description) <br /> Project manager /contact /private engineer: T~ ~ t- <br /> PROJECT SCOPE: <br /> Paving: ~ Q U ~ ~ t r~ ~v ~ ~ Bike lanes /paths: (widrn) <br /> (wrdrns) , <br /> Concrete walks: Setback /Curbside <br /> pengrn) (widrn) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: - 4~ <br /> City 'L, ~ ° c7 Assessments Private Other department <br /> Account code <br /> Fed /State Cou 1 FAA ~ o ~ Qn~ fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ' ~ e <br /> ~ rJ ` ~ ~ t3 C' a <br /> aa <br /> ~ i e ~ to <br /> - <br /> <br /> . APPROVED: <br /> Project Manager Date ~=-1 ~ ` <br /> Principal Engineer Date ~I t-~.s~-'~-- <br /> Facilities Manage Date <br /> City Engineer f Date f > l <br /> r <br /> }FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ACK ~ V ~~~Z ~ (fiX K~ ~ ~ <br /> ~ <br /> GL Title=~~~~n~ P-~~ /~lcnwo~d. ~?yd.. <br /> Assigned by Date <br /> Date <br /> Accounting by <br /> ATTACHMENTS: <br /> Budget Estimata~ ? 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 PrO 't ~ a ~ l ~`1~ p <br /> e YELLOW /Administration File PINK /Engineering File GOLDENROD ~Projanager JANUARY 2000 <br /> ENG 415 WHITE / Financ <br /> - - ; - <br /> <br />