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PROJECT AUTHORIZATION FORM <br />Service ID: 93- 004733 SID PB GL JC J <br />Project Title: Golden Gardens Emergency Call Box <br />(l ocation and work description <br />Install service utilites and equipment for a new emergency call box and security camera at the entrance to Golden Gardens Park. <br />Project Manager /Contact /Private Engineer: Emily Proudfoot, PW POS Planning <br />ng: Bike lanes /paths: <br />(widths) (width) <br />:rete walks Setback /Curbside <br />tlengll7r Main) <br />tewater Stormwater Landscaping <br />al Street lights Row required <br />building construction Planning, Other Remodel <br />FUNDING SOURCES: <br />City Telecom: $37,00 Assessments Private Other Departmen POS $15,700 <br />Account Code 1 35- 2 1 1 5 - x xxxxx- 650133 t�05 Shure jn fay {It 32I- 0?335- 91-515 Z <br />Fed /State /Count /FAA ( %,FIXED) <br />COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: C rnOUe 4 ran.. 32li - qB <br />Majority of oroject funding to come from Telecom account remainder to be funded from POS - c i esgO ` <br />APPROVED: _ <br />Project Manager: Emily A. Proudfoot Date: 1/13/2010 <br />Section Manager: Neil Bjorklund / Date: <br />Financial Analyst: Lacey Risdal Date: <br />Division Manager: Johnny Medlin �. Date: <br />2 <br />A ONLY <br />oital Project No. ACK <br />Title <br />by: <br />tg by: <br />Date: <br />Date: <br />ATTACHMENTS <br />❑ Budget Estimate <br />❑ SDC Budget Worksheet <br />❑ City Engineer's Initiating Order <br />❑ Request for Scoping Meeting <br />OM /POS 100 ❑ WHITE /Finance <br />❑ Developer Agreement ❑ Engineer's Report on Improvement Petition <br />❑ Engineering Agreement ❑ Engineering Service Work Request <br />❑ Public Improvement Permit Application ❑ Map <br />❑ YELLOW /PW Administration File 0 GOLDENROD /Project Manager Aug 2010 <br />