New Search
r,t'w--^ ,,' ~„ <br />~_ <br />V ~wrr <br />PROJECT AUTHORIZATION FORM <br />Engineering <br />Public Works <br />~/ l,-•~ <br />in. i. ~il J.t•.. <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />(541) 687-5560 <br />rOjeCt title: "~ ~ i. l,_ ~ r ."' I 1 d._.1_~_ ~ d -1 ( ~!. ! j l 6 '~, L' -~.~ Y't -,,i~" ~%'Vr!! 6 Y ~ ~ j ~~r <br />(location and work description) <br />roject manager /contact /private engineer: ~ ~~`~~.- ~7 ~~~ . ~~ <br />PROJECT SCOPE: <br />h ~ ~~ r `t 2- ~( <br />'~~ ~ t ~ <br />o <br />Paving: <br />Q Bike lanes /paths: <br />~_ <br />(widrns) (w. rn <br />Concrete walks: uC~ Setback /Curbside <br />(length) (width) <br />~ <br />Sanitary sewer ' <br />Storm sewer <br />,q ~ Landscaping <br />J <br />Signal Street lights ,~ ROW required t'.~-~~) <br />New building construction Planning, other Remodel `) <br />FUNDING SOURCES: <br />City ~ Assessments ~ Private Other department <br /> Account code <br />Fed /State /County /FAA (%, fixed) <br />OMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br />1 ~ <br />1 <br /> <br /> <br />APPROVED: <br />Project Manager Date ~-~") <br /> <br />Principal Engineer c <br />Date ~~ " ~'"~ ' ' ~ <'~ <br />Facilities Manager, <br />~ ' Date <br />~ <br />City Engineer ~ <br />~. <br />Date ~ - ~' ~' <br /> <br />FOR USE BY ADMINISTRATION ONLY <br /> <br />Capital Project No. -~/ f J~ ~ ~ ACK ~.~ ~.._. ` <br />~ ~ `~ ~ ~~ ~: ~ ~ - J' lY;; =~t~7`~,~ <br />.. <br />` ~ <br />., ., <br />GL Title <br />,..~" <br />,~ <br />~,-- ~ .; <br />., <br />Assigned by <. <' ,<. ~, ~- : i _.t.~>:.~"._ <br /> <br /> <br />ate ='°<F ~.~~ :~=/ 1~%• <br />! ~ <br />Accounting by ~ %~.Iv`r~r~~L= - - ~ r/ <br />Date ~~ ' '~ t "~ <br />~1T~ACHMENTS: r- i (`)~ L~, <br />jw° Budget Estimate C.~ _ ~ Developer Agreement ^ Engineer's Report On Improvement Petition <br />SDC Budget Worksh ,-,~-.~^ Engineering Agreement ^ F~ggineering Service Work Request <br />City Engineer's Initiating Ora`e°~ ^ Public Improvement Permit Application Map <br />File Request Form <br />WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JULY 1996 <br />