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PAF4203
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PAF4203
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Entry Properties
Last modified
1/20/2010 2:36:21 PM
Creation date
6/24/2008 1:11:19 PM
Metadata
Fields
Template:
PW_Capital
PW_Document_Type_Capital
Project Authorization
PW_Active
No
External_View
No
GJN
004203
GL_Project_Number
955504
Retention_Destruction_Date
5/16/2017
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. . <br /> ~.1~ ~ <br /> ' ~ ~ Engineering <br /> . ~ PROJECT AUTHORIZATION FORM ~ Public Works <br /> City of Eugene <br /> v~ 244 E. Broadway <br /> <br /> ~r , (541) 6820- <br /> 560401 <br /> Service ID: ~ SID PB ! GL~! JC Y JEV_ <br /> Project title: ' ~ ~ ~ ye n~~ n Prt; e Y ~)Gc.~l Dn <br /> (loea ' nand work descripti <br /> Project manager /contact /private engineer: ~e WCa. C/1 ? ' I (!1 ~ ~ h'1 GZ <br /> PROJECT SCOPE: ~ <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer 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 I O. / INT RDEPARTMENT~?L WORK DESCRIPTION:. , <br /> t ~ ! + ~ P~ .S ~~r . <br /> APPROVED: <br /> Project Manager Date~'~`)~ <br /> Principal Engineer ~ Date `r <br /> Facilities Manage Date <br /> City Enginee r Date `-a <br /> FOR USE BY ADMINI2STRATION ONLY <br /> Capital Project No. ~ ~ S~U~ l ACK i 4,~ ~~~Z ~/X~1/ ~ f <br /> GL Title ' ~ ~ <br /> Assigne by ~ Date ~ Z U <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~l Map <br /> File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />
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