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PAF3923 (2)
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PAF3923 (2)
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Entry Properties
Last modified
11/8/2011 4:31:11 PM
Creation date
12/30/2008 2:48:00 PM
Metadata
Fields
Template:
PW_Capital
PW_Document_Type_Capital
Project Authorization
PW_Active
No
External_View
No
GJN
003923
GL_Project_Number
935034
Retention_Destruction_Date
6/20/2021
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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> i? City of Eugene <br /> A ~ 244 E. Broadway <br /> 'w~ Eugene, OR 97401 <br /> Service ID: ~ ~ ~ / ~ (541) 682-5560 <br /> SID_ PB _ GL _ JC _ JE <br /> Project title: ~ <br /> (location and work description) <br /> Project manager /contact /private engineer: <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 S RCES: C~~' <br /> City ~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. / INTERDEPART NTAL WOR DES RIPTION: <br /> ~ 4v~ '°i-Lz V <br /> .r- <br /> z <br /> ~ ~ ~ ~ <br /> I, ~ <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date a~2" ~ <br /> Facilities Manage . Date - _ <br /> City Engineer ~ ~ Date v <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK Q~~2' ~~'k'X'x ~ 35®~~ <br /> GL Title ~ ~ <br /> Assigned by Date <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 /> r~ , <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 /> <br />
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