New Search
_ <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> y ~ , / (541) 682-5560 <br /> Service ID: I' / ,,~-r- SID ~PB ~ GL ~JC JE ~ 'Sib' <br /> Project title: i~Ul.l~ _ c.:~ 1 ~ ~ ~t~ t ~ ~ Z. ~ j J~ <br /> (location and wodr description) <br /> Project manager /contact !private engineer: ~ ~~~"Cl.~ <br /> PROJECT SCOPE: <br /> Paving: ~K-~r/"" ~ dQ~-(~) /~~1~ Bike lanes /paths: <br /> (widths) (width) <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: '~'y0~ ~S/~y /~7~ ~p~ <br /> ~ 33 lr ~ 7n3s' a ~s~~ y ~lv, a , <br /> City Assess <br /> ~t~ ~ Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WOJ~IC DESCRIPTION: <br /> `S~ f)LLt ~~/iU l`5 ~ti.f ~~Ul l~ $ r~-I Sf~f D <br /> t3Un'1P5 ~ ~~---~1~ l~ l~[' L,~~ G~.I A~~ ~H(~~~.~T~TP~-'~~~ <br /> APPROVED: ~ <br /> Project Manager ~ _ Date ~~7 i ~ <br /> Principal Engineer ~ ~ v r ~ e date ~ h ~ ~ <br /> Cs+f~ i G t <br /> Facilities Manager Date r~ <br /> City Engineer Date ~ ~71~~ <br /> 0 <br /> M <br /> FOR USE BY ADMINISTRATION ONLY ° <br /> Capital Project No. 1 ACK ~j~ g~~~ ~X,~X X ~,~v7~7F ~i <br /> o <br /> GL Title • ~ I i <br /> c <br /> Assigned ~ 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 /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering Fil® (Gl~I~EN~CC 1a (gjec~f~an~~ V p JANUARY 2000 <br /> <br />