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GJN4632 PAF
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GJN4632 PAF
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Entry Properties
Last modified
6/8/2009 1:00:23 PM
Creation date
5/11/2009 2:09:56 PM
Metadata
Fields
Template:
PW_Capital
PW_Document_Type_Capital
Project Authorization
PW_Active
Yes
External_View
No
GJN
004632
GL_Project_Number
995295
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<br /> i <br /> PROJECT AUTH RIZ Vv~ Engineering <br /> O ATION FORM 5 Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: SID~PB ~GL JC JE <br /> Project title: ~ ~ Mr~.~1 ~ ~1 VIG~c.,S`~P.~"- b cc,ne ~ C L~G• <br /> (location and work desciiptionJ ' <br /> Project manager /contact /private engineer: /~'~1C~~~~) ~(~i 1 <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (/en,,9gt"hJ ` (width) <br /> Wastewater ,/?ilf~ ~.d%(r Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City ~ Assessments Private Other department <br /> _ 1~ Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ne ~BZrwr, S ~r ~ V°t ~~[2'Y~ <br /> ~Z~,e. i ?re l v?~ u;~5~-- ~aS o, <br /> ~ f,4,l', <br /> APPROVED: <br /> Project Manager p Date <br /> Principal Engineer Date _ <br /> Facilities Manager Date <br /> City Engineer L`~~ / Date ~ ~ - <br /> FORgUSE BY ADMINCCISTRATIO(N~ ONLY <br /> Capital Project No. S ~ ` S ACK y ~ [~~~~.4~ <br /> GL Title <br /> As gned by Date <br /> A countin b Date <br /> ATTACHMENTS: <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 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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