New Search
~r• <br /> ` <br /> Engineering <br /> 3~ ~ RROJECT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> I~ 244 E. Broadway <br /> `r" Eugene, OR 97401 <br /> (541)682-5560 <br /> i <br /> Service ID: ~ <br /> P'ro'ect title: ~f-5~'Z r"'tr~P..~ v" Q'~` ~.G~.li' vu~~" ~Q~ ~ ~C V~~- ~ <br /> j (location and deacnptlon) i <br /> P~ ~ "~'ro ra.vn ~ iii l~~j~YV~ I~t o ~.v~. -t'.~c. <br /> f Project manager /contact /private engineer: ~ r,~ <br /> G <br /> ~ ~ PROJECT SCOPE: <br /> J ~ ' Paving: Bike lanes /paths: <br /> Concrete walks: ~ Setback /Curbside <br /> i. ry ~ o ~ ~ t pa <br /> i Sanita sewer ~ANhI Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> i <br /> New building construction Planning, other Remodel <br /> b~ <br /> FUNDING SOURCES: ) <br /> City ~w b Assessments Private Other department <br /> count code <br /> Ac <br /> ~ ~dDt t~UU'0 <br /> ~e~f:l !State /County /I=AA ~ fixed) <br /> ' C M 11~#ENTS /SPECIAL PROJECT ihlFb / ~RD PA TAL WOR ION: <br /> ~ ~ <br /> ? ~ ra; ; <br /> ~t <br /> . <br /> _ t <br /> u <br /> t5 <br /> APPROVED: f ,~j t J ~ 6 <br /> Project Manager C1-~ Date ~ <br /> Ptincipal Engineer Date I ~ g <br /> Facilities Manager Date <br /> <br /> j - City Engineer Date ~/_7_/ U <br /> ~ <br /> ~1 <br /> I <br /> FOR USE BY ADMINISTRATION ONLY <br /> I <br /> Cppital Project No. ~ ~ ~ ~ CK J 3 0~ q 330` X X x X X ! p5'U~tS <br /> GUt.~ <br /> ~ GiL Title <br /> Assigned by ~ Date 11 ~ <br /> Accounting by ~ 'Pte ~C <br /> I 1 , s i <br /> I 'w i <br /> ~ ~ TTACHMENTS: ~ s . <br /> ~ Budget Estimate O~ Developer Agr.¢ement ? Engineer's Report On Improvement Petition <br /> ~ SDC Budget Worksheet ? Engineering Agreement ' ' , ; t ? Engineering Service Work Request <br /> ' C~ Ity Engjneer's Initiating Order ? Public Improvement Permit Application ? Map <br /> File Request Form <br /> I <br /> ENG 415 WHITE / Fnance YELLOW / Admfr~tration Fie PINK fir` eering File GOLDENROD /Project Manager MARCH 1998 <br /> ~ ` <br /> j w ~ <br /> <br />