New Search
PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ,n ~~~s City of Eugene <br /> ~`j" 244 E. Broadway <br /> Eugene, OR 97401 <br /> G (541) 682-5560 <br /> Service ID: %~O~ SID PB .LL GL X JC _ JE <br /> Project title: ~L~ !"~~~/~1G ~QStewQtev' u~li~~ <br /> (location and wo desaipfion) <br /> i <br /> Project manager /contact /private engineer. <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) i <br /> Concrete walks: Setback /Curbside <br /> (length) (width) i <br /> Sanitary sewer X Storm sewer - Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other ~ Remodel <br /> FUNDING SOUFjCES: .~.~a 933 9~5D~~ " <br /> City t/ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COJVIMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ ~ /lam ~ <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager ~ Date <br /> City Engineer f Date ~ ~'Z ~ ~ <br /> i <br /> FOR USE BY ADMINISTRATION ONLY I'i <br /> Capital Project No. ~l j 5 ~ 5 ~ ACK ~3 2- 9331 XXXX X. q 150 55 <br /> GL Title ~ ~ ~I ~ i+ C A,r?r1? <br /> Assigned by Date <br /> 9 <br /> Accounting b G~~~ DateI <br /> ~I <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 /> ~w <br /> <br />