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GJN4589 PAF
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GJN4589 PAF
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Entry Properties
Last modified
8/26/2014 3:12:35 PM
Creation date
10/30/2009 1:45:01 PM
Metadata
Fields
Template:
PW_Capital
PW_Document_Type_Capital
Project Authorization
PW_Active
Yes
External_View
No
GJN
004589
GL_Project_Number
905115
Retention_Destruction_Date
8/2/2022
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<br /> . PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: 455 (541) 682-5560 <br /> SIDS/ PB ~ GL JC JE <br /> Project title: ZD ~ b W~S~~ I~'j~t2 'L~d-t 1~T3 l l..l ~~(D ~t ' ©l~ s (,tt C ~,~t,b <br /> (/ocalion and work descripJionJ <br /> Project manager /contact /private engineer: L~ S'T~1'~l~s <br /> .PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widlhsJ (widlhJ <br /> Concrete walks: Setback /Curbside <br /> (/en 1hJ (widlhJ <br /> Wastewater ~ Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> ~PP~`~, t~ ofr ~STt MA- C E~ t . ~c~sT' . <br /> FUN~NG SOU CES: <br /> City °n~°b~Assessments Private Other department <br /> s32. ~ Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> Tt-us ~1zoJGCi y~t.L.t~ 'f3 E ~>Z ~i~-t,PJ~ f 1zEl~~~tta-~~~?~ o~ Po~[t,o~ of <br /> -[4~1E ~ugLk 1t~.1.~5~ ~~,,T~. Gbu.~.c.'Tb ~ SVSTE-~7?~_~~ ~ ~ w~t~~ea"Twc~ <br /> DF F~P~vu]~ 4tLA't~c2 l~'t{87~S 1~6LL~t-- U14. ~ Llit~.l~~q S gtiCT~ of <br /> ~:~i.A.s~ ~ <br /> ~C~ ~i t~~. s~A-.~°- sy~c... ~~s ~lct~t~tic <br /> ~~Bc.t~ t~c~tts e~ ~lA~.f_5_~.lD v.~o2t< S~~ ~/{-1. <br /> APPROVED:. ~ <br /> Project Manager ~ Date ld <br /> Principal Engineer " ' ' Date _ '~-=~-~1 ~~~1 <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> t <br /> Capital Project No. ~ ACK ~ ~ i~3 S ;l ° ~ ~~~x <br /> GL Title ~~a~~~ taG~.!'1u~'~ ~~r'~ ~w <br /> Assigned by Date <br /> Accounting by Date <br /> AZTACHMENTS: <br /> Budget Estimate ? Developer 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 0"Map <br /> ? Request for Scoping Meeting <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?ULY2004 <br /> <br />
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