New Search
PROJECT AUTHORIZATION FORM <br />~ -= <br />Engineering <br />Public Works <br />City of Eugene <br />~' 244 E. Broadway <br />c ~a ~ ~ ~ Eugene, OR 97401 <br />Service I D: ~ 5 ~ ~ ~ (541) 682-5560 <br />SID PB GL JC JE <br />Project title: i°" t' {'" ~'6 C3.i <br />(location and work description) <br />Project manager /contact /private engineer: ~ ~, ! `~° Cti ~ ~ ~'` ` C_, ~ ~ .~ <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: <br />(length) <br />Wastewater <br />Signal <br />Stormwater <br />Street lights <br />(width) <br />New building construction Planning, other <br />ROW required <br />Remodel <br />FUNDING SOURCES: <br />City Assessments Private <br />Other department <br />Account code <br />Fed /State /County /FAA (%, fixed) <br />COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br />T~ r ~ ~i~~'Ic~e (3~ ~zsW y-6~D.a•zi~ ~ t ®~ ~ ~1 i'T~ Wit- ~,.-i" '~~~- '~~_i-~ f~;,.e~-~ <br />~9::`Ja~^vl '3 t= Is- '~.'~v1:h61~r~'`t' i~j3t=~~~*e/.A:~1;lsl-'~~l+~r`t j=i~~.it'7 I~'~ i~°~'aF~~ ~?'~f.!~1 <br />~ .~ <br />APPROVED: <br />Project Manager_ <br />Principal Engineer <br />Facilities Manager <br />City Engineer <br />Date t' ' / ~~~~" " <br />~ - 22 -dam ~° <br />Date <br />Date <br />Date ' ~ ~~,/ <br />~FO'R~ USE BY ADMINISTRATION ONLY /~a~~ <br />Capital Project No. _~-~~ ACK '~ ~~~~ (~1~~- <br />GLTitle ~~ ~ ~ ~``~ ~ ~ ~ '~ ~,~~.SL~'"~ 1'C~J a <br />Assigned <br />`. <br />Date <br />Date <br />ATTACHMENTS: <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 />^ Request for Scoping Meeting <br />ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager /UL Y2004 <br />