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BJE44644 GJN4203
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BJE44644 GJN4203
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Entry Properties
Last modified
1/20/2010 2:36:21 PM
Creation date
6/24/2008 1:22:41 PM
Metadata
Fields
Template:
PW_Capital
PW_Document_Type_Capital
Journal Entry
PW_Active
No
External_View
No
GJN
004203
GL_Project_Number
955504
Identification_Number
44644
Retention_Destruction_Date
5/16/2017
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PROJECT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> '!V~ 244 E. Broadway <br /> v Eugene, OR 97401 <br /> / / ~ Yh (541)682-5560 <br /> Service ID: Z SID_ PB_/ GL _ JC _ JE _ <br /> Project title: I I ~ r1 tJl.° A ~e me n-E~ ~'L°. S ~ r' tJCc.`~1 <br /> OI'1 <br /> ~ a~~*d"~~ r ( o C hard e 1-~0?'~ <br /> ~trnra <br /> Project manager /contact /private engineer. ~Ct~~a, t"'~ ~ ~ I n S m 0. <br /> PROJECT SCOPE: ~~11~ AA~~ ~ <br /> Pavin TT Bike lanes /paths: <br /> g (»~daas) (1 <br /> Concrete walks: Setback /Curbside <br /> r~ <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> { <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 . / INT EPARTMENT WORK DES RIPTION:. <br /> r r' "0l1 S ~ eS <br /> u p'y1 l '~'i 0 n . <br /> APPROVED: <br /> L ; <br /> Project Manager Date <br /> Principal Engineer Date 7 ~ <br /> Facilities Manager Date <br /> City Engineer ~ Date y <br /> ~ <br /> ~ ~ <br /> c_.i <br /> .i <br /> FOR USE BY ADMINIS-TRATION ONLY C <br /> Capital Project No. ~ ~ ACK I ~ J Z ~ <br /> GL Title 1 ~ ~ ~u <br /> ` Date , <br /> Assigned y <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 /> File Request Form <br /> <br /> ' ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />
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