New Search
PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> v Ay/~ <br /> J 244 E. Broadway <br /> W Eugene, OR 97401 <br /> (541)682-5560 <br /> Service ID:_ ~ j 3~ SID PB X GL ~ JC ~ JE _ <br /> Project title: ~ ~ ~"/'L v11 !2 t~~~ 13 P~~-f- <br /> (location and work description) <br /> F~~ c t iv <br /> tOT <br /> il~V~s G!~-yL/=~r?~z,n <br /> Project manager /contact /private engineer: ~ vb I e. trv~c..l~ <br /> PROJECT SCOPE: <br /> Paving: 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: <br /> City Assessments Private Other department <br /> 2~2,, Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> ! APPROVED: <br /> Project Manager Date ~3~/ ~ - ~ <br /> Principal Engineer~~~ Date <br /> Facilities Manager Date <br /> City Engineer Date ~ / 1 2lUT <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK ~^3~01 ~X.~1LY ~~.J <br /> ~ ~~u <br /> GL Title p ~ <br /> Assigned by Date ~~?i <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 /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> 03-20-03A08:00 RCVD <br /> <br />