New Search
PROJECT AUTHORIZATION FORM Engineering <br /> ~'"L ~ Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: ~ ~ ~ ~ ~ ~ (541) 682-5560 <br /> SID_ PB _ GL JC _ JE <br /> Project title: .~tSi~.~S ~j0;~~ ~~~S~11fi~51~%Ol~ <br /> (location and work description) <br /> Project manager /contact /private engineer: 9..~~1~E P.S~ ~ . Pie FI i <br /> PROJECT SCOPE: <br /> Paving: ~ Bike lanes/ paths: <br /> l (widths) ! (width) <br /> Concrete walks: ~ Setback / Curbside ~S~-~-~ <br /> (length) ~ (width) i/ <br /> Sanitary sewer ~ `."~19t'3 Storm sewer lf~ 1~ Landscaping <br /> Signal Street lights ~ t~lE~d ~g ~ l-iC~~iOW required <br /> New building construction Planning, other ~i <br /> (.7~ ° C9~es 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 /> <br /> . <br /> APPROVED: - ` <br /> Project Manager Date <br /> Principal Engineer "C Date 1 ~ - <br /> Facilities Manager/~ Date <br /> City Engineer. Date ~ Z <br /> FOR USE BY ADMINIS2TRATION ONLY ,~7 <br /> Capital Project No. J / ~ ~ ACK i~ J ~ ~~~X / L"~ J <br /> GL Title i ~,l/ ~C.~_)C~'t. P~ i s ~ Q <br /> n ~ ~ <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 r <br /> ?,City Engineer's Initiating Order Public Improvement Permit Application ? Map <br /> File Request Form <br /> V~ <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY ~ 0 <br /> - _ 1 <br /> <br />