New Search
n <br /> _.,I~.... <br /> ! PROJECT AUTHORIZATION FORM ~ ~ Engineering <br /> Public Works <br /> i <br /> City of Eugene <br /> I ~ 858 Pearl <br /> ~ Eugene, OR 97401 <br /> (541)682-5291 <br /> Service ID: SID ~PB ~ GL ~ JC , JE <br /> ~-l ~ ro~1 `1 Ulu ~ S ~ ~ 1'~~,: <br /> Project title: <br /> i (location a ~Ic description) <br /> Project manager (contact /private engineer: ` r~'G ~ ` ~"(t I , r - % ~ ' ~ ~,1 j <br /> i <br /> PROJECT SCOPE: ~ <br /> Paving: y ~ Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Qength/ (w;dtn) ~ ~ } ~'Set~ urbside <br /> Wastewater ~ /r ._.x~ <br /> Stormwater La~n-d-s-c-a-p-in-g-~ <br /> Signal Street lights /ROW required 1 <br /> I <br /> New building construction Planning, other ~ t,.'~ Remodel <br /> i <br /> 4 <br /> i FUNDING SOURCES: <br /> City Assessments Private L! Other department <br /> i <br /> Account code <br /> ~ _ a Fed /State !County !FAA fixed) <br /> } ICOIVIMENTS !SPECIAL PROJECT INFO. /INTERDEPARTMENTAL ~IVORK DESCRIPTION: <br /> I y <br /> I <br /> - <br /> ` <br /> t <br /> Project Manager ~ Date ~~I <br /> L~~ <br /> Principal Engin er _ Date ~ <br /> h <br /> ~ Facilities Manager Date <br /> ~ City Engineer ''r = ~ Date 77/,1 <br /> <br /> I ' FOR USE BY ADMINISTRATION ONLY <br /> <br /> I <br /> Capital Project No. s.~ <br /> sy~Z~ ACK ~3 ~ ~s~ L/Xxx ~ ~ ~ ~Y <br /> GL Title ~~•-YCX'"'1 1'?~ ~.t].~.l.hJ~ ~ ~ V4~ <br /> Assign by Date ~ ~ J <br /> <br /> 1, s <br /> ARCOUntin 'Date <br /> ATTACHMENTS: i <br /> I <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet engineering Agreement ? Engineering Service Work Request <br /> ~.'~?~.~C,ity Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> ~~Fle Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 t~ <br /> ~ 1 <br /> <br />