New Search
d <br />Public Works <br />PROJECT AUTHORIZATION FORM <br />Engineering <br />Job <br />Ll -75-0 <br />City of Eugene <br />99 E. Broadway, Suite 400 <br />Eugene, Oregon 97401 <br />(541) 682-5291 <br />Project Title: _1011 8G"` -hLa L <br />(location and work description) <br />Project Manager / Contact / Private Engineer: -Jfj-Ajr-eX 7 tP - _ <br />PROJECT SCOPE: <br />Paving Bike lanes / paths-_______ <br />(widths) (width) <br />Concrete walks <br />(length) <br />Wastewater Stormwater <br />Signal <br />Street lights <br />New building construction Planning, other <br />Other _6411~ '-e6&-17VX, <br />Setback / Curbside <br />Landscaping <br />ROW required <br />Remodel _ <br />FUNDING2OURCES: Check ALL applicable funding sources fixed) <br />City--`---Assessments-----_.__ Private Bond <br />Fed-- --State <br />Account codes <br />County <br />Other Dept._,_---__ <br />Grant <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />Ye r,mA. (/~-/r! ~_~YG~7J S fGfij~ s~--- <br />APPROVED: ; <br />Project Manager - - <br />Principal Engineer <br />Other Manager <br />City Engineer <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Pro'e <br />GL Title <br />Assigned by <br />- <br />Date <br />Date <br /> <br />Date----- <br />Date__:~"// <br />Accounting by <br />SID PB GL JE_- <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 ❑ Public Improvement Permit Application X Map or Drawing <br />❑ Request for Scoping Meeting <br />WHITE/Finance YELLOW /Administration File PINK/ Engineering File GOLDENROD/ Project Manager April 2010 <br />