New Search
c <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> - ~ -Eugene, OR 97401 <br /> Service ID: ~ (541) 682-5560 <br /> ~ SID ~ PB ~ GL^f~ JC ~ JE <br /> Project title: {~rLd~7c~.S ~r~- T uig~~ah,a- ~Q,ICS q,Hd l r"~b ~ ~o` ~ i <br /> f`eCi.vh. <br /> (location and work description) ~ 1 <br /> ~J'`C~ S~ off- • ~2~ trtC1~C ~G!` ~ ~~f'oS~014.~ <br /> Project manager /contact /private engineer: i ~ rr ~ ~ ~ v ; N 6 $ 2 ^ s 3 ~j'~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widfhs) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer g®O ~ C(`ee t-c Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City S`to~~°'~. WGA(~Assessments Private Other department <br /> d ~ t i ~ 1 C53 5 - ~1`-F21-~ 17 ~g~ tTj~~ ~y~.,~ Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~`J`O S` O ~ C? GLtnr`g,s`ce ~rc +w c7 ? ~(^2 1 ~ BJ 0.i e i'^ i K2~ t~eiA! ~3 <br /> T <br /> I <br /> APPROVED: P <br /> Project Manager ~ r r ' ~ Date 3 /~J <br /> Principal Engineer Date 3 ` <br /> Facilities Manager Date <br /> City Engineer Date 3 O b <br /> ~,,,~,,rFOR USE~~.•B~_Y ADMINISTRATION ONLY <br /> Capital Project No. ACK ~°3~ 9~°ZI <br /> GL Title ~ ~ <br /> Assigned by Date <br /> Accounting by Date <br /> A'fS~EHMENTS: <br /> <br /> E . [Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement ?~gineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application Map <br /> ? File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />