New Search
° ~ ~ ~ Engineering <br /> PROJECT AUTHORIZATION FORM -n Public Works <br /> <br /> i <br /> ~ City of Eugene <br /> 858 Pearl <br /> Eugene, OR 97401 <br /> , / (541) 682-5291 <br /> Service ID: ~ ~ ~ SID ~ PB ~ GL~ JC r JE <br /> Project title: C `l=t'~~~C ~ ~ f <br /> (locatio ndworkdescription) ~i _ <br /> 1' (,~iD,__-~ <br /> ~_r_ ~~Y'~,V'V'C~I.T~L °F-' ~C~~~17" i.'~'Y.~l, <br /> Project manager/ contact/ private engineer: o~~~'~j'~,~-~ ~~Gl.~''`~~ , f~G~ ~/f~1.~1~'1 ~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) ff <br /> Wastewater ~t! Stormwater ~ 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 /> i"~~ <br /> ~ ~ i~ <br /> i <br /> APPROVED: <br /> Project Manager ~ Date <br /> Principal Engineer Date ~ <br /> i <br /> Facilities Manager Date <br /> City Enginee Date s~~-- <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK C~~~~-x-~~~~~~ <br /> GL Title L <br /> ~~~-~J f t~~ <br /> Assigned Date <br /> Accountin 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 blic Improvement Permit Application ? Map <br /> "File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> <br />