New Search
~ <br /> / ~ <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> <br /> f City of Eugene <br /> 858 Pearl <br /> Eugene, OR 97401 <br /> / ,V/ ~ ` ~ (541) 682-5291 <br /> Service ID: SID PB GL JC JE~' <br /> Project title: - _ ~ ~ /yl <br /> (lacatio nd work escd lion) <br /> Project manager /contact /private engineer: I ~B ~ ~ <br /> PROJECT SCOPE: i <br /> Paving: ~ ~ Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> rr (length) (width) <br /> Wastewater ~ Stormwater r~ Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other J~D"c ~ 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 /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date - _ <br /> City Engineer Date ~ ~ <br /> p FOR USE BY ADMI//N~~ISTRATION ,O „NLY / ~ <br /> Capital Project No. ~ ~ ~ ACK lS~~~ l L~~~-~ `4'! <br /> GL Title ~ ' r ~e~~`-~ . <br /> Assigned y q Date ~ o <br /> Accounting by Date <br /> ATTACHMENTS: <br /> l <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 /> ile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> <br />