New Search
A~k <br />Public Works <br />PROJECT AUTHORIZATION FORM 1W Engineering <br />Job _ W3 <br />Project Title: Vii, t CtOMM V ~ ® ~6- -5 ~1 - ~°I` t® <br />(location and work description) <br />Paving <br />/ Contact / Private Engineer: ---~`t i dew----- <br />SCOPE: <br />(widths) <br />Concrete walks--- <br />(length) <br />Wastewater 0 C1~-----_ Stormwater <br />(width) <br />Signal Street lights <br />New building construction Planning, other <br />Other FUNDING SOURCES: Check ALL apoli cable funding sources fixed) <br />t~ -Assessments Private Bond <br />city---- - <br />Fed -State <br />Account codes <br />City of Eugene <br />99 E. Broadway, Suite 400 <br />Eugene, Oregon 97401 <br />(541) 682-5291 <br />Bike lanes /paths-_----__-_ <br />(width) <br />Setback / Curbside <br />Landscaping- <br />ROW required <br />Remodel <br />Other Dept. _ <br />County FAA_ - Grant <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />9 <br />C ~ <br />a 1 B e JL _ I r e_ B B.. 3_ <br />o f_ `CP._-.T-. _ _I -U. -A iw A- d ~ ix'®.1...., - _1. wawLa~_ d <br />APPROVED: <br />B <br />Project Manager Date- <br />-I <br />Principal Engineer T - - - Date <br />Other Manager Date--- <br />City Engineer,G d _ _ Date--L=14-- 1.1 <br />USE BY ADMINISTRATION ONLY <br />Capital Project No. J - ACK 53 g33 Z 1_5 <br />GL Title I&) VD ®l - MY by -~•/If'Ir~•n.B a I <br />r ri _ <br />ATTACHMENTS: <br />Zroject 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 ❑ Public Improvement Permit Application "ap or Drawing <br />❑ Request for Scoping Meeting <br />WHITE/Finance YELLOW /Administration File PINK/ Engineering File GOLDENROD /Project Manager April 2010 <br />