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PAF4227
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PAF4227
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Entry Properties
Last modified
10/18/2011 11:28:29 AM
Creation date
12/31/2008 9:53:21 AM
Metadata
Fields
Template:
PW_Capital
PW_Document_Type_Capital
Project Authorization
PW_Active
No
External_View
No
GJN
004227
GL_Project_Number
374227
Retention_Destruction_Date
6/30/2019
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i <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> i <br /> i <br /> City of Eugene <br /> 858 Pearl <br /> Eugene, OR 97401 <br /> (541)682-5291 <br /> Service ID: SID PB ~GL ~JC JE _ <br /> i ~ <br /> <br /> j Project title: i~ <br /> 1 (location an ork description) <br /> ~ Project manager /contact / privat engineer: ~I^ ' S~c~. GC ~ ~ ~ <br /> PROJECT SCOPE: f <br /> Paving: ~ I Bike lanes /paths: <br /> (widths) ) (width) <br /> Concrete walks: S/ etback //Curbside S /~~..r <br /> CrY (length) (width) f~ <br /> Wastewater ~ b Stormwater ~~s~ ~ ~ Landscaping _ . <br /> Signal Street lights_ i ROW required <br /> New building construction Planning, other ~ ~ I Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private ~ Other department <br /> Account code i, <br /> Fed /State /County /FAA fixed) <br /> CO MENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: - <br /> ~ <br /> 9 <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer ~ ~ Date <br /> Facilities Manager Date <br /> City Engineer Date ~3n ~ <br /> r,,.jFOR~~USE BY ADMINISTRRATION ONLY <br /> Capital Project No. / ACK ~ ~ r ~ ~ ~ / / <br /> GL Title ~r~~rS~ ~ <br /> Assigne y - Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> r. _ . <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet z~ngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order blic Improvement Permit Application ? Map <br /> ``~ile Request Form <br /> E//NG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> <br />
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