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PAF3993
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PAF3993
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Entry Properties
Last modified
1/26/2009 5:30:04 PM
Creation date
12/30/2008 2:30:58 PM
Metadata
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Template:
PW_Capital
PW_Document_Type_Capital
Project Authorization
PW_Active
Yes
External_View
No
GJN
003993
GL_Project_Number
373993
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PROJECT AUTHORIZATION FORM g 9 <br /> Public Works <br /> ~ l / ` p` r"' City of Eugene <br /> e-- ~ ~ ~ L ~ J ~ ^ 244 E. Broadway <br /> ~ ~ ~ Eugene, OR 97401 <br /> ,('a ~`.,I (541) 682-5560 <br /> Service ID: '"0 ~ Q~ <br /> Project title: ~ ~nnp~`~ ~~r ~ l-- <br /> (loca(iaq~~ Ie~Vt/log / ll ~fl/~j ~ <br /> b~~~~ ~ V l <br /> ``~~11 JJ ~ A <br /> Project manager /contact /private engineer: ~ 9 vo.~ S <br /> PROJECT SCOPE: <br /> Paving: ~~~it~"~~5~®~.~~°~ ~~e / ~~~~°°~~-i-k'e-lanes /paths: <br /> ~C~poncrfetewalks: Se< tbacklaCurbside (wldrn~ <br /> Vvx~S~L~ ~ (length) ~ width <br /> Sasewer Storm r ~~`fW ~-~1--~--- 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 INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> ~ ` <br /> APPROVED: <br /> Project Manager Date ~ <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date <br /> FO~3R 2USE BY ADMIN/ISTRATION ONLY r~ <br /> Capital Project No. ~'T~ ACK ~ ~~3d ~~C~.X- `3~~~! <br /> GL Title ~r Cl fc° a+"1 <br /> Assigned by ~ Date ~ f~ ~ <br /> Accounting by Date _ (.f9/ <br /> f'.. <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ublic Improvement Permit Application ? Map <br /> File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager A~fARCH 1998 <br /> <br />
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