New Search
PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~ ~„A City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~p,[f ~ ~ : (541) 682-5560 <br /> Service ID: ~/a / SID ~PB ~GL JC ~ JE t't_ <br /> ~ <br /> Project title: ~~'t°~'7 ~~~I~i~~.,.a ~~~?~°J ~ ~io~,; <br /> ~s"v~ i~ 3z, 'ti~~ 'S~`3,~ <br /> (lo 'on and work d crip ' n) ' ~ <br /> Project manager /contact /private engineer: <br /> i <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> th) (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 /> ` Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ` >S ~T it ~'~i,/~i~/v.~fi~,~ .S'~EW~~z~2 ~9~i a~ v°ertp~ <br /> <br /> ~ ' <br /> a ~ ~ ~ - d <br /> ~ - rl ~/M <br /> APPROVED: <br /> Project Manager Date ~/~7~~ <br /> Princi al En ineer Date w ~ <br /> p 9 <br /> Facilities Manager Date <br /> City Engineer Date `r X71 U <br /> FFOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ? ~ ~ ~ ACK ~ 3 ~ ~ ~"x~~ ~ ~ <br /> GL Title G~ ; ~ ~ ~ ~~f <br /> Assigned b Date / <br /> Accounting by Date <br /> ATTACHMENTS: <br /> t 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 /> <br />