New Search
4 <br />A ) ~y Account code <br />/ County/ FAA (t fixed) <br />/ SPELL PROJECT INFO. / INTERDEPART ENTAL WORK DESCRIPTION: <br />1 <br />PROJECT AUTHORIZATION FORM <br />Engineering <br />Public Works <br />Service ID: <br />® t~ - et <br />Project title: <br />(/0cati012Pnd w01k deS01110 ion) <br />Project manager / contact / private engineer: <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: <br />Wastewater <br />Signal <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />/p (541) 682-5560 <br />SID /FPB/ ZGL ZJC y re JE t-71A++ <br />IST <br />A <br />Bike lanes / paths: <br />ddlhsJ j~ (width) <br />Setback / Curbside <br />(width) - <br />Stormwater 41-e'L5 Landscaping <br />Street lights <br />New building construction Planning, other <br />FUNDING SOURCES: <br />City Assessments Private Other department <br />APPROVED: <br />Project Manager Date _ <br />Principal Engineer Date , Q <br />Facilities Manage Date <br />City Engineer Date _ ~/C/ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. 374107 ACK 6,51 (0-XX-XX-- ` 1q X47 <br />GL Title Li 116,ri - UYJh~aIr <br />Assigned b"y ~_(t <br />Accounting by <br />Date 4116114 <br />Date <br />ATTACHMENTS: <br />❑ Budget Estimate <br />❑ SDC Budget Worksheet <br />❑ City Engineer's Initiating Order <br />❑ Request for Scoping Meeting. <br />ENG 415 WHITE / Finance <br />❑ Developer Agreement ❑ Engineer's Report On Improvement Petition <br />ngineering Agreement ❑ Engineering Service Work Request <br />Public Improvement Permit Application ❑ Map <br />LA P', 9 <br />YELLOW/ Administration File PINK/ Engineering File GOLDENROD/ Project Manager ✓ULY2004 <br />ROW required <br />Remodel <br />