New Search
Y, <br /> PROJECT AUTHORIZATION FORM ---j Engineering <br /> ' Public Works <br /> r,-. City of Eugene <br /> i 858 Pearl <br /> Eugene, OR 97401 <br /> ~ ~ ~ ` / ~ (541)682-5291 <br /> I Service ID: ~ ~ p SID ~PB GL V JC JE <br /> ~ Project title: ~~~"Y-4~'1~, ~d p'~ <br /> (locatio d work de c pt' n) <br /> ~ <br /> Project manager /contact /private engineer: ~~j ~ / ~ ~ ~ ~ ~ ~.S ~ t <br /> PROJECT SCOPE: I' d 0 <br /> Paving: e ~ Bike lanes /paths: <br /> (wiarns) ~ (wldrn) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other ~ Remodel <br /> ~ FUNDING SOURCES: <br /> f <br /> City Assessments Private ~ Other department <br /> I <br /> I Account code <br /> Fed /State /County /FAA fixed) <br /> I COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 4 <br /> 6 I` , <br /> I <br /> 3 <br /> (rE <br /> I <br /> I <br /> r ~ APPROVED: <br /> Project Manager ~ ~ ~ ~ Date ~ ~ ~a <br /> Principal Engineer` ~ ~ Date ~ <br /> 1 Facilities Manager ~ Date <br /> / ~~jj~ <br /> City Engineer ~ ~ Date ~ L~~ ~ ~7" <br /> i <br /> i <br /> FOR USE BY ADMI//N~~ISTRATION ON//L~~Y s~~/' <br /> Capital Project No. ACK (~'l~ ~ ~ L~a~ ~ / 1 <br /> GL Title G~2~Y1 t~ i' 1~-G~`.~~ ~ <br /> Assigne by Date <br /> Accounting by Date <br /> <br /> I <br /> ATTACHMENTS: <br /> { ~ Bud et Estimate Develo r A <br /> ~ ? g ? pe greement ? 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 /> ile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> ~I <br /> <br />