New Search
i <br /> En ineerin <br /> 9 9 <br /> PROJECT AUTHORIZATION FORM <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 JE <br /> Project title: ~ ~`~-S S ~ V / <br /> (location an work descrier bnJ ~ w 0 <br /> WQ <br /> Project manager /contact rivate engineer l ~ 1 1 l~lz° <br /> PROJECT SCOPE: <br /> Paving: ~ Bike lanes /paths: <br /> i (widrhJ <br /> Concrete walks: Setback Curbsid <br /> /J>~1 (/engthJ (widr/~l~y <br /> Wastewater IVC Stormwater !//!f Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Mana er Date ~ ~ <br /> 9 <br /> Principal Engineer Date ~ <br /> f_~T_ <br /> Facilities Manager Date <br /> City Engineer Date ~ l0 ~ `l7 <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. t_~ ~ ~ l~ ACK 1 Q ~ ~ ~ (.s('~~v~~c ~ <br /> <br /> 1 1 <br /> GL Title <br /> Ass• ned b Date ~ ` ` <br /> ccounting Date <br /> ATTACHMENTS: <br /> ? Budget Estimate eveloper Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet LN'Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order C>~ublic Improvement Permit Application ? Map <br /> ? Request for Scoping Meeting ,z <br /> ENG41 <br /> 5 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />