New Search
PROJECT AUTHORIZATION FORM <br />~~ ~ ~ <br />5 _~ <br />Engineering <br />Public Works <br />Service ID:~~~ <br />Project title: ~~ ~aK W~ca,~~ ~C'or~ ~ <br />(/ocation and woik desciiptionJ <br />Project manager contact / private engineer: a ~ u 2 <br />PROJECT SCOPE: <br />! ~ <br />Paving: Z UGc~~ e- Bike lanes / paths: - <br />(widrhsJ (widrh) <br />Concrete walks: ~ " Setback / Curbside ~ <br />(/engthl (widihJ <br />Wastewater "' Stormwater '" Landscaping <br />Signal Street lights ' ROW required <br />New building construction - Planning, other ` Remodel "-' <br />FUNDING SOURCES: <br />City F~I t 33 Assessments - Private <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PR , <br />. . ~ <br />~~~f !C /J4.. ~K~~ <br />Other department ~' <br />Account code <br />'- ( %, fixed) <br />INFO. / INTERDEPARTMENTA/~L WORK DESCRIPTIO ` <br />Lf .. ~ . n T ~ s._. . n w ~ tr.. 1 .~..~ .' n _ .1 ' ~ . _ r~~ L _ _ ~ ~ ~/~ G. <br />APPROVED: <br />Project Manager_ <br />Principal Engineer <br />Facilities Manager <br />City Engineer~~ <br />Date ~~' Z~' ~_ <br />Date ~ <br />Date _ <br />Date 7~~! d~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~~ ~~ ~~ ACK ' 3 ~ ~~~ ~- ~ L <br />GL Title ~~~ ~ ~ ~ °' ~_ ~ '~ ~G- ~ "~ - <br />Assigned <br />Accounting by <br />Date <br />ATTACHMENTS: <br />- ~Budget Estimate ^ 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 _~ Map <br />^ Request for Scoping Meeting <br />City of Eugene <br />_~~ 244 E. Broadway <br />Eugene, OR 97401 <br />,/ (541)682-5560 <br />SID ~ PB !! GL ~ JC~ JE <br />Date ~ ~ <br />c~ <br />cra <br />~ <br />0 <br />i <br />c~ <br />~ <br />0 <br />~ <br /><~: . <br />u <br />~o <br />c~ <br />~ <br />~ <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager /ULY2004 <br />