New Search
' PRO.DECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~Z~:~c~ City of Eugene <br /> ~ ~1,,~,., 244 E. Broadway <br /> l ~ . , Eugene, OR 97401 <br /> (541) 6 2-5560 <br /> Service ID: ~ SID ~PB ~ <br /> G~C ~E ~ , <br /> ~1 ~ <br /> Projecttitle: - vast ~ <br /> `('l°oca~tion and work description) <br /> Project manag~contact /private engineer: g~ : ~ ~L2 ~;1 <br /> <br /> i <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer~_.:_(~ j C~ ra~>~~ ~Ikascaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FDING SOURCES: <br /> CI Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> CO/M~ MENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTIsO^N: <br /> '~'-`-~1 y°" y~,,,n u ca_.'~ ~ ,lam ~ ~ C~ <br /> t - <br /> APPROVED: r <br /> Project Manager ~ Date f ~ ~i t d j <br /> Principal Engineer orL ~ie C~1 al,~~~ Date~~~ <br /> o~ <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK 9 <br /> GL Title ~ ~ ~ ~ ~ ~e -i-~~'` <br /> Assigned by Date ~ ~ ~ <br /> Accounting by - 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 /> File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK 1 Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />