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PAF4320
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PAF4320
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Entry Properties
Last modified
1/19/2010 4:34:56 PM
Creation date
6/18/2008 1:37:42 PM
Metadata
Fields
Template:
PW_Capital
PW_Document_Type_Capital
Project Authorization
PW_Active
No
External_View
No
GJN
004320
GL_Project_Number
935062
Retention_Destruction_Date
5/29/2018
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<br /> i~ <br /> ~M Engineering <br /> ` PROJECT AUTHORIZATION FORM Public Works <br /> ~W ~ I D ~ a ~ ~ ~ ~ t ~ City of Eugene <br /> I: 244 E. Broadway <br /> Eugene, OR 97401 <br /> ` ? (541)682-5560 <br /> Service ID: Lt , z o 11,.,.-- <br /> j j Project title: Pl~r~iW t~jZ.' ~~'~~'f'"' ' <br /> (location and wo descrlptlon) <br /> ' ~ r ~ ~cl~ <br /> j Project manager /contact /private engineer: ~~~T'-/ <br /> PROJECT SCOPE: <br /> ~ Paving: ~ Bike lanes /paths: <br /> ~ (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> i r' (length) (width) ~ <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> i New building construction ~Q Planning, other Remodel f <br /> j <br /> FUND NG SOURCES: ~ al~~ G0 t 7~ ~ ~d 5 / ~ ~ <br /> City v~ Assessments Private Other department <br /> ft/A Account code <br /> Fad ~i'at~"r::~our:ty / 1`AA ~ ~ . (qo, ~fiicec~} <br /> J`; COMMENTS J SPECIAL-PROJECT fNFO. / INTERDEPARtN1ENT/4L WORK pESCR~TION <br /> ~ <br /> 1 <br /> .a y 1 ~ ~ t ~ i, <br /> , i ~ s <br /> APPROVED: • .yr / v r <br /> Project Man Date J Y <br /> Ij ~ Principal Engin r ~ - ~ _ Date ~ CJ <br /> Facilities Manager Date _ <br /> ` Date y G~~~ <br /> ~ FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ 3 ACK ~ ~ ~ + 33S ~cx~X X ~ 3 ~ L~(y~- <br /> GL Title rZ->~~.-~ "N <br /> Assigned y / / ~ Date <br /> Accounting by 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 /> i ? File Request Form <br /> ENG 415 WHITE /Finance YELLOW / Adminlstration File PINK /Engineering File GOLDENROD /Project Manager MARCH 1998 <br /> <br />
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