New Search
Public Works <br />PROJECT AUTHORIZATION FORM <br />Engineering <br />City of Eugene <br />99 E. Broadway, Suite 400 <br />Eugene, Oregon 97401 <br />Job #: l �1 (541) 682 -5291 <br />Project Title: � I✓3 \Nj t L LQ \r%J 5 P QQ rte: <br />(location and work description) <br />Project Manag / Contact / Private Engineer: MO V (� `) g E _V– X 84 (4 0 <br />PROJECT SCOPE: <br />Paving <br />Concrete walks <br />(length) <br />(widths) <br />Bike lanes / <br />Setback / Curbside <br />(width) <br />(width) <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />Other D94 W P-L A E��� A N t\T t ON <br />FUNDING SOURCES: Check ALL applicable funding sources (% fixed) <br />City �A Assessments Private Bond Other Dept. <br />Fed State ___ County FAA Grant — <br />Account codes 53 1 C i 7 - .2 –(0 <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />Or 0 W I I t. <br />APPROVED: <br />7 <br />Project Manage I li <br />Date & <br />Principal Engineer c <br />Date Z.– <br />Other Manager <br />Date <br />City Engineer <br />Dat /Z <br />FOR USE BY ADMINISTRATION ONLY D <br />Capital Project No. ' 10.5 ACK 6,3 ® 7 Z <br />GL Title <br />Assigne Date_�e_ <br />Accounting by Date <br />SID "" PB a GL JC '' JE C ? -1 F <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 E4 Map or Drawing <br />❑ Request for Scoping Meeting <br />WHITE/Finance YELLOW /Administration File PINK/ Engineering File GOLDENROD/ Project Manager April 2010 <br />