New Search
c <br />1W Public Works <br />PROJECT AUTHORIZATION FORM <br />Engineering <br />Job -4-7-~2-cq--- <br />Project Title: <br />(location and, work <br />AS <br />Project Manager / Contact / Private Engineer: LYK VAf <br />S <br />PROJECT SCOPE: <br />Paving _dl ~~CO~X r~/l er✓,/-?~ <br />(widths) <br />Concrete walks-- aQ - ~ _ <br />Wastewater if (length) (width) ll <br />- Stormwater ~G <br />Signal 1!1 Street lights - <br />New building construction - - Planning, other Q`kdau_v~ <br />Other <br />FUNDING SOURCES: Check ALL applicable funding sources fixed) <br />City-- Assessments--- Private - Bond <br />Fed ----State <br />Accountcodes <br />County F, <br />City of Eugene <br />99 E. Broadway, Suite 400 <br />Eugene, Oregon 97401 <br />(541) 682-5291 <br />Bike lanes/ paths-_ 'n co etbac Curbside (width) <br /> <br />Landscaping--_ <br />ROW required <br />Remodel <br />Other Dept._ <br />Grant <br />APPROVED: - <br />Project Manager - <br />Principal Engineer -V-04 L <br />Other Manager - - <br />City Engineer Z~°~~p✓~~Al <br />Date- ffO <br />Date- 27 c? _ <br />Date <br />Date ?)1•2:7 1(.C5 <br />Capital I <br />GL Title <br />Assigned by <br />Accounting by <br />SID ti f/ PB_Ie!!f- GL JC_Z JE-Ay# <br />Date- - <br />ATTACHMENTS: <br />❑ Project Budget Summary ❑ Developer Agreement ❑ Engineer's Report On Improvement Petition <br />❑SDC Budget Worksheet Engineering Agreement ❑ Engineering Service Work Request <br />❑ City Engineer's Initiating Order ublic Improvement Permit Application ❑ Map or Drawing <br />❑ Request for Scoping Meeting ;WP <br />ACK G0 <br />L-9L~ <br />✓ h" <br />WHITE/Finance YELLOW /Administration File PINK/ Engineering File GOLDENROD/ Project Manager April 2010 <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />FOR USE BY ADMINISTRATION ONLY <br />