New Search
r <br /> PR E T A TH IZATI N F RM En9'"ter'"9 <br /> ~J C V ~R ~ 0 Public Works <br /> City of Eugene <br /> ~I 244 E. Broadway <br /> <br /> ~ Eugene, OR 97401 _ <br /> ~ A ( ? ~ ~ / ~ ~54~682-5560 <br /> Service ID: /~}I' SID_ PB GL _ JC JE _I <br /> Project title: ~ L~ ' ~ 1 ~ ~ <br /> (locati a wo d cnp ' n) ~ ~ ~ <br /> Project manager /contact /private engineer: , <br /> j <br /> PROJECT SCOPE:1 ~ <br /> Paving: ~ ~ ~ Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside _ <br /> II (length) h) ~r <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 /> ~IVec a " <br /> e~ <br /> m <br /> APPROVED: ' <br /> Project Manager Date ~ ~ <br /> Principal Engineer Date ~ <br /> Facilities Manager Date <br /> City Engineer Date .~f3~~.~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~~~~5 ACK lOX-~Xy~ <br /> GL Title / Ol,~s ~ <br /> Assigned by ~ Date ~ ` <br /> Accounting by Date Z~ ~~03 <br /> ATTACHMENTS: <br /> j" ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ublic 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 /> C~`~ 9 <br /> <br />