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GJN4634 PAF
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GJN4634 PAF
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Entry Properties
Last modified
6/8/2009 1:01:06 PM
Creation date
3/31/2009 5:33:52 PM
Metadata
Fields
Template:
PW_Capital
PW_Document_Type_Capital
Project Authorization
PW_Active
Yes
External_View
No
GJN
004634
GL_Project_Number
374634
Identification_Number
PAF
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df <br /> PROJECT AUTHORIZATION FORM Engineering <br /> r-,+~-~/'t Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eu ene, OR 97401 <br /> 9 <br /> ~ ~ ~ (541)682-5560 <br /> Service ID: / SID P/B GL JC JE <br /> Project title: S /V <br /> I <br /> location and work descii Lion <br /> P J <br /> Project manager /contact /private engineer: ~ N <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> ~ (wid7hsJ / (widlhJ <br /> Concrete walks: Co~O ,®°S Setback urbside~ <br /> (/en thJ (widlhJ <br /> Wastewater ~ Stormwater 1/ Landscaping <br /> Signal Street lights ~ ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private ~ Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> i <br /> APPROVED: <br /> Project Manag Date/ ~ <br /> Principal Engineer Date I. <br /> Facilities Manager Date _ <br /> City Engineer Date ~ ~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 1 ~ . ~ ACK l0~' _ Q ~J ~ iJl,`''~~"'~ <br /> a <br /> GL Title ~ ~t C.it U ~ Sw I <br /> 3 <br /> Assig ed by Date <br /> Accou Date <br /> r ATTACHMENTS: <br /> ? Budget Estimate ? Qeveloper Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> ? Request for Scoping Meeting ~ r <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK / Engineerin e GOLDENROD /Project Manager ?ULY1004 <br /> _ _ <br /> _ _ <br /> <br />
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