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PAF4117
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PAF4117
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Entry Properties
Last modified
1/19/2010 4:24:19 PM
Creation date
6/26/2008 1:30:08 PM
Metadata
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Template:
PW_Capital
PW_Document_Type_Capital
Project Authorization
PW_Active
No
External_View
No
GJN
004117
GL_Project_Number
935055
Retention_Destruction_Date
4/16/2019
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<br /> . ~ PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> .L~ -y~ f (541) 682-5560 <br /> Service I D: ll l_r r SID '"r PB ~ GL ~ JC JE _ ~S i, `b,~.. <br /> Project title: Vfr,4~~~'k/sf~ /'"~i~n/~to~E ,.J~r71,~.,~q t`A~~-t`t=r~ ~~tlt1~ ' ~Q3~,/ti ? ~ ~ ~ <br /> Qocahon and wOdt deSCnptro) T <br /> r,.i , e ' ~ t+3 !+W ^ f ~.~t.?~~ ,x,111 t /C.~)N,`^.•]~ •~j9~ , i/G"~ TCJ ~~j' <br /> Project manager /contact /private engineer. <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (w~drns/ (Width/ <br /> Concrete walks: Setback /Curbside <br /> pengrn) (W;drn/ <br /> Sanitary sewer ![r~J f~~~~~/-~ 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 /> ,~,sr~;~ Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> -i`~ v4' ~'`-3r~~~ ~ /1;~~~.~.^016 ~ ~ a - <br /> r <br /> - . <br /> fi r6" ''{,r a A+i 1N ~ ~ %/?ri, i ~ -~'fAI S i^-1 ~(^~t.+s i N /.H ut ~ + ~ rd r. <br /> 't _ <br /> 1 ii~ f <br /> : ~ ? :~°t ~ . S l...Yi t..,j ^7 D a1 ',A P ~ I ' + f<::n ~ ^ <br /> . - dJ4 U M <br /> i ~ - ~ ~ ~ ,f <br /> ar.R ,Ir ~ f't": • ~.t ~..s -~r3 ti ho f. - ~.{N ~ ~ , i c~ J !.Ai " A ~,a-^ <br /> a. ~ • y. <br /> ,r. <br /> -~T, ~ >`,F-a~-' •~,~J aA .~i~ fir` <br /> APPROVED: . ~ , <br /> ~ <br /> Project Manager ' ' ! Date-t <br /> ~ <br /> Principal Engineer ~ ~ Date / I Z / <br /> Facilities Manager Date <br /> City EngineerT.~,~% ~j Date ~ r' <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~'h":~ ACK `~~'"~of t'h `,t ''%''j c~''-i <br /> GL Title f.CiLt~ r&~~r'i/7~']t:lr ~rC~Lta~:= }~11'J~` •~-~U,i <br /> Assi ned b t <br /> 9 Y ~ Date ~ ' ~ ~ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ~udget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> DC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit ApplicationMap <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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