New Search
PROJECT AUTHORIZATION FORM <br />Engineering <br />Public Works <br />Service ID: <br />Project title: <br />(/o ation work /' /p�� criptionJ 0 �y <br />Project manager / contact / private engineer: <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br />(widths) (width) <br />Concrete walks: Setback / Curbside <br />�! (i qth) (width) /I <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />City Assessments <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />/ (541)682 -5560 <br />13 ✓ r GL s�! JC JE <br />n r? / <br />Private V Other department <br />Account code <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />APPROVED: <br />zb 1°t Z <br />Project Manager l'"� — <br />Date .�._ <br />Principal Engineer ' <br />Date Z <br />Facilities Manager <br />_ Date <br />4 1 <br />City Engineer4 <br />Date <br />e� FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. 7 'i S ACK & 31 -9,357- 6 ) 0- x !` — <br />GI-Title <br />Assigned by �? Date <br />Accounting by Date <br />ATTACHMENTS: <br />❑ Budget Estimate ❑ Developer Agreement ❑ Engineer's Report On Improvement Petition <br />❑ SDC Budget Worksheet gineering Agreement ❑ Engineering Service Work Request <br />El City Engineer's Initiating Order O Improvement Permit Application ❑ Map <br />❑ Request for Scoping Meeting <br />ENG 415 WHITE/Finance YELLOW/ Administration File PINK/ Engineering File GOLDENROD/ Project Manager JUL Y2004 <br />