New Search
Public Works <br />PROJECT AUTHORIZATION FORM <br />Engineering <br />City of Eugene <br />99 E. Broadway, Suite 400 <br />Eugene, Oregon 97401 <br />Job j ~~9 - <br />_ (541) 682-5291 <br />Project Title: I I `k I C3 I!I ~~t'Y1`~~? - <br />(location and work description) <br />roject Manag Contact / Private Engineer: <br />PROJECT SCOPE: <br />Paving Bike lanes / paths-_----_-_ <br />(widths) (width) <br />Concrete walks Setback / Curbside__-_ <br />(length) (width) <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel_-------_ _ <br />Other _-s Ve't, oklh° 1_ - <br />SOURCES: Check ALL applicable funding sources fixed) <br />FUNDING <br />City EQ ssessments__- Private Bond <br />Fed_~ Mate County FAA_ <br />Account codes <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />Yl 'YAK' G + >ifG~l dv~ C'~1 ")*-A 4-e ✓YP con L~= A <br />Other Dept. <br />Grant <br />'✓P_ La Grp <br />as M <br />APPROVED: <br />t <br />er <br />t M <br />P <br />Date <br />1 <br /> <br />anag <br />- <br />rojec <br />- <br /> <br />Principal Engineer <br />Other Manager <br />En <br />ineer <br />Cit <br />Date <br />Date <br />g <br />y <br />Capital Project No. - 4 L <br />GL Title jp <br />Assigned by <br />Accounting by _ <br />SID PB-GL _ <br />ATTACHMENTS: <br />Project Budget Summary <br />❑SDC Budget Worksheet <br />❑City Engineer's Initiating Order <br />❑ Request for Scoping Meeting <br />FOR USE BY ADMINISTRATION ONLY <br />- ACK 5LI Z ° J33 Z!:- <br />JC_Yq? JE_ <br />❑ Developer Agreement ❑ Engineer's Report On Improvement Petition <br />❑ Engineering Agreement ❑ Engineering Service Work Request <br />❑ Public Improvement Permit Application ❑ Map or Drawing <br />WHITE/Finance YELLOW/ Administration File PINK/ Engineering File GOLDENROD/ Project Manager April 2010 <br />