New Search
~~iOc~ECT AUTI""IQRIZAT[ON FORM Engineerin 9 <br />Public Works <br />City of Eugene <br />- 244 E. Broadway ~ j Eugene, OR 97401 <br />Service l D: ~ X541 ~ 682-55Go <br />SID PB CL JC JE <br />Project title. f ~Iocation and workdescription~ ~ <br />Project manager 1 contact 1 private engineer: ~ <br /> <br />f .PROJECT SCOPE: ~ <br />~ ~ , . Paving: ~ <br />d ~w;~~a Ike lanes paths: Concrete walks: (w~d~h) E <br />(iengtb~ Setba 1 Curbside j widlhJ <br />Wastewater Stormwater ~ ~ Landsca in p9 <br />Signal ~ Street lights. ~ ` RCW re uir <br />q ed . New building construction Planning, other • Remodel <br />FUNDING SOURCES; <br />City ~ Assessments ~ f Private. Other department <br />Account code Fed 1 State 1 County 1 FAA o <br />COM ~ ~ /a, fixed MENTS 1 SPECIAL PROJECT INFO.1 INTERDEPARTMENTAL WORK DESCRIPTION: <br />f <br />i <br /> <br />. ~ i <br />I <br />APPROVED: <br />Project Manager ~ ~ Q <br />Date Principal Engineer ~ - . <br />~r Date ~a Facilities Manager , - Date <br />Ci#y Engineer r <br />Date / <br />FOR USE BY ADMINISTRATION ONLY <br />Capita! Project Nv. ACK ~ ~ E <br />GL fiitle <br />. Assigned by Date <br />Accounting by ~ Date <br />ATTACHMENTS: ' <br />Budget Estimate ❑ Developer Agreement ❑ .En ine <br />CD SDC Bud et Vvorkshee g er's Report Cn Improvement Petition ~ g t J. Engineering Agreement. ❑ Engineering Service Work Re nest q <br />❑ City Engineers Initiating Cyder Public Improvement Permit A lication ❑ M <br />❑ Request #vr Sco in Meetin ~ pp ap Pg g . <br />ENG 415 WHITE 1 Finance YELLQW 1 Administration File PINK 1 Engineering rile ~GQI_DENR4Q 1 Project Mana er <br />9 JUL Y24d4 <br />t <br />