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GJN4664 PAF
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GJN4664 PAF
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Entry Properties
Last modified
10/19/2011 12:47:03 PM
Creation date
10/6/2009 3:01:31 PM
Metadata
Fields
Template:
PW_Capital
PW_Document_Type_Capital
Project Authorization
PW_Active
No
External_View
No
GJN
004664
GL_Project_Number
905134
Retention_Destruction_Date
6/30/2021
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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> rf Eugene, OR 97401 <br /> Service ID: ~P~ ~ ? ~ ~ ~ 4 (541) 682-5560 <br /> SID PB ~ GL JC _ JE <br /> Project title: ~ ~j~ ~V "P ~ aP ~ K' d ~r~ ~ a <br /> °e. <br /> (location and work descnplionJ <br /> Project manager /contact /private engineer: ~ ~ if" ~ `a <br /> PROJECT SCOPE: <br /> <br /> 'i Paving: ~ ~ Bike lanes /paths: <br /> <br /> ~ (wrdlhsJ (widlhJ <br /> Concrete walks: Setback /Curbside <br /> (length) (widlhJ <br /> Wastewater 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 /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ 3® ~ ~ <br /> APPROVED: <br /> Project Manager Date ~ <br /> Principal Engineer ~ Date <br /> Facilities Manager Date- <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ~ "7 ACK ~c~ - ~ 3 ~i~ - f¢ - a f ~ <br /> GL Title ~ ° ~ ~ 6v <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 Ma <br /> p <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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