New Search
PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> <br /> ~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> L~ / ~ / ~ (541) 682-5560 <br /> Service ID: SID/ PB GL JC JE_ <br /> Project title: ~ ~ ~ <br /> (/o a bn anF/ work desc~ipliorlJ <br /> ~ <br /> Project manage /contact /private engineer: ~ ~ ~I i" l? " fYP~7?~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widlhsJ <br /> (widihJ <br /> Concrete walks: Setback /Curbside <br /> (/engthJ (widlhJ <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDIN SURCES: <br /> City \ _ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> C MENTS SPECIAL RO ECT INFO. / INTE D~PARTMEN A ,W RK ESCRIPTION:~ <br /> ) U ~ f'7 ~w 1 .2 ~ r l b cti ~ .2G~ <br /> APPROVED: <br /> Project Manager Date ~ ~9 <br /> Principal Engineer Date <br /> Facilities Manager Date ~ <br /> - _ <br /> City Engineer Date-~~~'-~~~. <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ACK ~~Z- 93~ 2 _ ~x~GJG ~~~,e~'y' <br /> GL Title / ~ SQ <br /> Assigned by ~ 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 <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> ? Request for Scoping Meeting <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?ULY2004 <br /> <br />