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GJN4645 PAF
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GJN4645 PAF
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Entry Properties
Last modified
10/19/2011 12:38:27 PM
Creation date
8/12/2009 1:44:54 PM
Metadata
Fields
Template:
PW_Capital
PW_Document_Type_Capital
Project Authorization
PW_Active
No
External_View
No
GJN
004645
GL_Project_Number
905132
Retention_Destruction_Date
2/17/2020
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_ _ <br /> d.....--_-= <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541)682-5560 <br /> Service ID: ` <br /> l`~` ~ ~A V SID ~ PB GL JC JE <br /> Project title: ~ ~+V~ ~~~~1,~~ <br /> (location and walk desciiptionJ~ <br /> Project manager /contact /private engineer: M, ~"~~;~F?~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (/engthf (width) <br /> Wastewater Stormwater Landscaping <br /> ~/4~_~~. <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 /> ~~t <br /> ~3s? <br /> 3~'TR~4.~1'~~-~lz,~ P~1As~. i <br /> APPROVED: <br /> Project Manager ~ Date ~ <br /> 4.~~ <br /> Principal Engineer Date ~ _ <br /> -Fe~eiiit~e~s Manager ~ Date <br /> <br /> ~ W City Enginee Date ~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ACK ~~2 % ~ ~ r~ <br /> GL Title ~ ~ ~ ~ <br /> Assigned by Date ~ <br /> Accounting by 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 i <br /> ? Request for Scoping Meeting i, <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> <br />
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