New Search
~ u Engineering <br /> PROJECT AUTHORIZATION FORM Public Works <br /> i <br /> <br /> k City of Eugene ; <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> w (541)682-5560 <br /> Service ID: •/7 ,r» / / <br /> ~ P~? rojebt title: b _ <br /> / r/ C.... 0 X711 t` C /'dam !O'""1 ~'r r / - <br /> C-~ ~ M (location and work deacnphon) e f i Q ~ 'y~/r / J ~ ~ / <br /> i t? Project manager /contact /private engineer: ~ f of 2t <br /> ~ ~ ~ <br /> PpOJECT SCOPE: ~ ~ <br /> I ~ ` <br /> Paving: 2 ~ iG~~° ~ ,V ~~F rl!"s' Bik lane / paths: <br /> I ~ (widths) ' <br /> a, A~QA'~ Cpncrete walks: Setback /Curbside ~ <br /> i ~W" J (ien9rn) ('dn') j <br /> S`pnitary sewer Storm sewer~~,~r' Landscaping c <br /> t Sfgn~l i - ~ Street lights fyr~S ROW required Ir~~ <br /> I <br /> i New building construction Planning, other Remodel ' <br /> FUNDING SOURCES: agk ~fCaN1 33'5 q33~. 90505} <br /> C~ty Assessments ~ Private Other department <br /> ; <br /> j Account code <br /> ~ } '~>:k' Ih Y Cown ! i=AA ~ ~ fixed) <br /> /Stet ty <br /> o , Mrs i sPEC>lat~ P IN~o. ~ u~ ~i~#~AR1'1~NTAL c~I~c oesc~arruN: ~ u ~ . <br /> ff ~ <br /> t <br /> PPROVED: ,rte ~r <br /> r~y roject Manager Date 7 ` j <br /> t ry'~ ~ <br /> rincipal Engineer Date ` <br /> " acilitjes Manager Date <br /> ~ ity Engineer Date <br /> 1 <br /> it ~ <br /> 'k' FOR USE BY ADMINISTRATION ONLY <br /> pl <br /> n ~ ;x'33 ~33a- X xxxx 9 7 9~osa~~ <br /> ~apital Project No. -_~~r-~~ ACK <br /> P <br /> ~L Title rd y ~ Y1 C <br /> ~a <br /> 79 <br /> I~ Date <br /> ~lsslgned by <br /> ~ i ccounting by Date ja <br /> ATTACHMENTS: <br /> ~ Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget Worksheet ? Engineering Agreement Engineering Service Work Request <br /> ' ity Engineer's Initiating Order ? Public Improvement Permit Application Map <br /> ` ile Request Form <br /> ` E/////ENG 415 WHITE /Finance YELLOW / Admfnletration File PINK / Engineering File GOLDENROD /Project Manager MARCH 1998 <br /> <br />