New Search
t <br />PROJECT AUTHORIZATION FORM Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />` (541) 682-5560 <br />Service ID: SID -Z P13 ~ GL ZJC ! JEYR~ r <br />Project title. ' PP c -x;_ r-ELV C~ FQDT 1 W- NJ Q 1°10 <br />(/ocati0n and wOik dOSMpti0n) <br />Project manage / contact / private engineer: 1 bb FT G S <br />y <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: <br />(length) <br />Wastewater <br />Signal <br />New building construction <br />FUNDING SOURCES: <br />City Assessments _ <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / <br />APPROVED: <br />Project Manager- <br />Principal Engineer <br />Facilities Manager, <br />City Engineer ,Z/l <br />(width) <br />Stormwater <br />Street lights <br />Planning, other <br />Private _ <br />'ERDEPARTMENTAL WORK DESCRI <br />Bike lanes / paths: <br />(width) <br />Setback / Curbside <br />Landscaping <br />ROW required <br />Remodel <br />Other department <br />Accountcode <br />fixed) <br />Date. <br />Date Q <br />Date - <br />Date <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. 9 ,5 to ACK 3-U- "133 2- x7 ~D <br />GL Title A1-4 f <br />I <br />Assigned by Date <br />Accounting by <br />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 />