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PAF3893
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PAF3893
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Entry Properties
Last modified
1/26/2009 5:26:39 PM
Creation date
12/30/2008 2:59:13 PM
Metadata
Fields
Template:
PW_Capital
PW_Document_Type_Capital
Project Authorization
PW_Active
Yes
External_View
No
GJN
003893
GL_Project_Number
915056
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PROJECT AUTHORIZATION FORM Engineering <br /> ' Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> ~l}CLE55 ? ~ ~ Eugene, OR 97401 <br /> (541) 682-5560 <br /> service ID. -3 8 ~ ~ 3 SID ~ PB _ GL JC _ JE <br /> Project title: w ~ T l ~ W / ~ STS /Z f~ G? S7' //Z W / <br /> (location and work description) <br /> ~~/Lk T~ ~-Z C/f/,2Nn//. L <br /> Project manager /contact /private engineer: li(/ u~f7 L <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) dth) <br /> Sanitary sewer Storm se~ ~ Landscaping <br /> Signal Street lights ROW required <br /> -New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> Ci Assessment Private Other department <br /> ~~o" ' m r ~ ~ t7CJ Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Mana erd~ Date ~ ~ ~ d <br /> J 9 <br /> Princi al En ineer Z <br /> Date ~ <br /> P <br /> 9 <br /> Facilities Manager Date <br /> City Engineer Date ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> i <br /> q l~ o s'31 9332 x xxxx 9/ r'o5~ <br /> Capital Project No. ACK <br /> ~ I l~ <br /> JL GL Title - ~Tl~ W E5T I ,2W1~1 / <br /> J~~ Assigned by ~ Date 0 <br /> Accounting by / ( / ~ Date <br /> ATTACHMENTS: <br /> (gj Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> <br /> ' ` 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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