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PAF4005
COE
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2008
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PAF4005
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Entry Properties
Last modified
1/26/2009 5:30:24 PM
Creation date
12/31/2008 8:42:18 AM
Metadata
Fields
Template:
PW_Capital
PW_Document_Type_Capital
Project Authorization
PW_Active
Yes
External_View
No
GJN
004005
GL_Project_Number
374005
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~ Engineering <br /> PROJEOT AUTHORIZATION FORM Public Works <br /> Ciiy of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> J'~~y ~ (541) 682-5560 <br /> Service ID: ~ v~° ~ SID PB GL _ JC JE _ <br /> Project title: ~ ~ ~ ~ <br /> (location and work description) pp <br /> Project manager /contact /private engineer: `Z - ~ ~ ~ ~ ~"~D <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 ~ ~ L° Remodel <br /> i <br /> FUNDING SOURCES: <br /> City Assessments Private_ t\~ Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager ~`e ~ Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer ~ ~~•L~~~~~~1 ~ Date D ~ <br /> <br /> I <br /> DMINISTRATION ONLY <br /> FOR USE BY A <br /> Capital Project No. ~ ACK I ~ <br /> GL Title <br /> Assigned by Date ~3 p ~ J <br /> Accounting by Date <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 blic Improvement Permit Application ? Map <br /> ile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />
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