New Search
PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: ~ ~ SID ~PB y L~ JC ~ JE <br /> Project title: /'1' VV 1`~' ~ ~ ~ T ~ ~ ~ <br /> <br /> ' (location ~~l work dggcri&fi~n ~ <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (wldrns) (wldrn/ <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <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 /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> k <br /> APPROVED: ,J~ <br /> Project Manager ''d~`'.d'~-- Date- ~ ~ I <br /> Principal Engineer Date (o ' ~ Z' ~ <br /> Facilities Manager Date <br /> City Engineer Y ~ Date / ~ " ~ ~ ' Q ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~7 3go1G ACK ~3j 9330 XK~CX X 3'139a9 <br /> GL Title ~ r~1C~ fit' Gt7 f <br /> Assigned by ~ Date ~o~l Da <br /> Accounting by l / Date ` ~/~~'7 f~~ <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 a_ <br /> ile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JA^IUARY ?OOJ <br /> _ _ _ <br /> _ <br /> <br />