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PAF3960
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PAF3960
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Entry Properties
Last modified
1/26/2009 5:28:46 PM
Creation date
12/30/2008 2:40:40 PM
Metadata
Fields
Template:
PW_Capital
PW_Document_Type_Capital
Project Authorization
PW_Active
Yes
External_View
No
GJN
003960
GL_Project_Number
915173
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<br /> " PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> SID PB ~ g~ ~ Eugene, OR 97401 <br /> Service ID: (541) 682-5560 <br /> _GL_JC~JE_ <br /> Project title: ~'~s~~,~. ~"1~1,I~,~d.~P , 1aL1t t LAS t~4,C-~ z~.ac ~ ~ 1~ <br /> (locationpan~dgw-ork descnpboen) <br /> C.s~ 6 ~ L~~ IY <br /> Project manager /contact /private engineer: ~ 6~r ~'6 ~.~r@~~.°f <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: 3 a 1 8335' r~m~U 90$f2I <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> aJ ~lr2.6~.d1..t~ a~lS"t'~.1~-t ~0~ ~k'J~ ~ ~/~~yt, ~l-~ <br /> nrl~l t-4DE.~ ~ S -c j ~[~6L..Dtkl ~ ~a..L~ ~~c~'C4Z1_~t,_,, ~'1l5'~ M . <br /> PPROVED: , <br /> ~roject Manager Date ~ ' <br /> i <br /> Princi al En ineer <br /> P 9 L~ <br /> Date <br /> Facilities Manager - Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK / r ~ <br /> GL Title ~ ~d ~19~~? ~ <br /> Assigned by Date <br /> _ /n / f <br /> Accounting by ~~~,~.~~1' <br /> T_'~~f <br /> ~~t~~~ Date <br /> ATTACHMENTS: <br /> 'Budget Estimate ? Developer Agreement ? Engineer's Report Onlmprovement 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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