New Search
PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> f ~ ~ Eugene, OR 97401 <br /> Service ID: '~S~/(~1 SID_ ~6 _ GL ~JC ~JE X541) 682-5560 <br /> Project title: t~ ~ ~ a V' <br /> (location ork ~sgripti n) , ~ ~ e,. n <br /> Project manager /contact /private engineer: ~~IC~I t~ <br /> PROJECT SCOPE: / ~ / <br /> Paving: Bike lanes /paths: <br /> ! ~ (wldtns) (Widrn) <br /> Concrete walks: ~ Setback /Curbside <br /> if tJ (length) idth) c/ <br /> Sanitary sewer ~ ~ Storm sewer C~~ 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 /> ~ , <br /> I <br /> APPROVED: ~ ~ ~ G <br /> Project M <br /> ana er D <br /> ~ J 9 Date <br /> Principal Engineer ~ Date <br /> Facilities Manager Date <br /> City Engineer fr~ Date r~,_` ~ <br /> <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ 7~d2'~ ACK ~ <br /> GL Title ~ . <br /> Assigned by ` J~~ Date ~Q D7- <br /> Accounting Date ~u~aT~~ <br /> ATTACHMENTS: <br /> 1 ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improve~e`rite~i~ <br /> ? SDC Budget Worksheet ngineering Agreement ? Engineering Service Work e~gJ~es#e~, <br /> ? City Engineer's Initiating Order ublic Improvement Permit Application ? Map ~~"r'~%+J~~ <br /> File Request Form w_~ Q~J <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK % Erigineering File GOLDENROD /Project Manager ~ UARY 20 <br /> 6 <br /> <br />