New Search
/I /L.iJf~' <br /> , <br /> ' TH RIZATION FORM Engineering <br /> OJECT AU O Public Works <br /> i <br /> City of Eugene <br /> 858 Pearl <br /> Eugene, OR 97401 <br /> ~ 1 (541)682-5291 <br /> Service ID: SID ~ PB V GL ~ JC ~ JE ~r` <br /> Project title: ~ ~ ~ -~-r~~ 1~~~~ ~~~''~T . <br /> f potation and work description) <br /> j ~ ~ i~j~5~ <br /> Project manager /contact /private engineer: ~ Yt ~ . <br /> I <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> (3oncrete walks: Setback /Curbside <br /> (rengrn/ (w;drn/ <br /> V~lastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> i <br /> wew building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> ~ ~ fled /State / bounty /FAA fixed) <br /> j COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> I <br /> i <br /> } <br /> ,'r . <br /> ~ jAPPROVEO: _ _ <br /> u _ , <br /> ~ ~ project Manager <br /> Date <br /> ;Principal Engineer ~ Date <br /> Facilities Manager Date _ <br /> ,City Engineer 'r l Date ~ ~ 2 `3 <br /> i <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> ,r~ <br /> ~ Capital Project No. ~ ~ ~30~. ACK ~0 3 ~ '7 33"1 ~'x ~ X X ~'7y'33 aZ <br /> I,' <br /> GL Title L-7Z~ Em X ~r'~'-~1% <br /> ~r~u`- ~~~T <br /> ~ 5.3 ~ ~ 0 5` <br /> Assigned by L = ~ Date <br /> r <br /> Accounting by Date <br /> ~ ATTACHMENTS: <br /> <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 / Fnance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2tX)2 <br /> ! I <br /> i <br /> <br />