New Search
~ ~ ~ <br />~ '~~ ~~ <br />~ PROJECT AUTHORIZATION FORM ~ Engineering <br />Public Works <br />-:- > City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />~ ~' / ~ ~ ~~ (541) 682-5560 <br />Service ID: SID~PB ~~ GL _ JC J~ <br />Project title: ~~ <br />(/ocation and work desc~iptionJ <br />~~I/~~~~ ~/r~-~F'i .A~' r ~ ,~ ~/~i~./j/"~ ro ~'/ -{9~~t/~~ <br />Project manager / c~ntact / private engineer: ~~~~~'~~ t'~" ~/ ~l~ ~E:~ ~/ ~~ <br />PROJECT SCOPE: ~ <br />Paving: ~~ Bike lanes / paths: <br />(wid(hs) (widlhJ <br />Concrete walks: . .~~ac / Curbside <br />~/;. ~~ (/engthJ (widlhJ <br />Wastewater ~~ Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />City Assessments <br />Private ~ Other department <br />Account code - <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />APPROVED: . <br />Project Manager ~~~~~ Date ~ ~ U <br />Principal Engineer Date ~ ~ <br />Facilities Manage Date-P~ <br />City Enginee ~ Date ~"~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~ / ~ ~ ~~ ACK 1Y ~ 1 6 ~`-~ ~ (.L~~r~~ ~ ~ / ~"' ` <br />GLTitle _~~ ~-~~~~ / ~> ~ ~~ ~~ -~ <br />Accounting by <br />ATTACHMENTS: <br />~ ^ Budget Estimate <br />'' ^ SDC Budget Worksheet <br />^ City Engineer's Initiating Order <br />^ Request for Scoping Meeting <br />ENG 415 WHITE / Finance <br />Date ~ ~ ~ <br />Date <br />~ veloper Agreement ^ Engineer's Report On Improvement Petition <br />~ngineering Agreement ^ Engineering Service Work Request <br />Public Improvement Permit Application ^ Map <br />~ ~~/~~ <br />YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /UL Y2004 <br />~s <br />i <br />~~ <br />~ <br />c _: <br />-~ <br />-c ; <br />v~~ <br />