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PAF3984 (2)
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PAF3984 (2)
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Entry Properties
Last modified
1/15/2010 4:31:55 PM
Creation date
12/30/2008 2:33:27 PM
Metadata
Fields
Template:
PW_Capital
PW_Document_Type_Capital
Project Authorization
PW_Active
No
External_View
No
GJN
003984
GL_Project_Number
925096
Retention_Destruction_Date
7/1/2020
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(PROJECT AUTHORIZATION FORM Engi"eering <br /> ^ Public Works <br /> City of Eugene <br /> ~~a~,~-- 244 E. Broadway <br /> i Eugene, OR 97401 <br /> ®~,5d1) 682-5560 <br /> Service ID: SID ~ PB ? GL ~ JC _ JE <br /> Project title: ~ L.jC ~°i'R ~ ~ T ~ f~~,k~,t~1~1~T`~'~ <br /> ~}~G-:LL[~~9 <br /> (location and work description) <br /> Project manager /contact /private engineer: ' `A'® A~_~ <br /> r~-~rs~ `~4 'f`l <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer X60 ~ Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~ y ~ ~ ~ ~ 5 d2 ~ ~ Z <br /> 7~ COO <br /> City p <br /> X SAM Assessments ~ 25~q ~ ~ ivate Other de artment <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ • ~.a b Y"` jo 8 et ~ L(i F~ ~ ~ ~ tr~~ryi:~ 33 s"' ~~~"{i fZ- ~~'V ~ i•- f ~ i 1L Y~ f <br /> e} i1~ ` ~ ~ i ~ ~ 7t 1 ~ f I~ f ~ ~ Ig • i ha Ib fa''~ ~ / 9r <br /> i ~ V~ , <br /> <br /> ~ , <br /> APPROVED: ~ <br /> i`" <br /> Protect Manager Date / <br /> Principal Engineer ~ Date ~ ~ <br /> Facilities Manager Date <br /> City Engineer Date ~~i7 <br /> FOR USE BY ADMINISTRATION ONLY ~y c/ <br /> Capital Project No. ~J -1a$~~ ACK ~3 ~ (~X~~ ~ %~~a <br /> GL Title ~ % /-a~-~l~ ~i.T ~r (~/~y sue(' ~~y <br /> Assigned by Date ~ ~ ~ <br /> ~ <br /> Accounting by / ~ ~ Date ~ ~ ~ ~ <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> I ? 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 /> ENG 415 WHITE /Finance YELLOW !Administration File PINK/ Engineering File. GOLDENROD /Project Manager JANUARY 2000 <br /> <br />
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