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\euc`a1re Public Works <br /> PROJECT AUTHORIZATION FORM Parks 8 Open Space Divisions <br /> City of Eugene <br /> 1820 Roosevelt Blva. <br /> Eugene, Oregon 97402 <br /> (541)882 -4800 <br /> (541)882 -4882 FAX <br /> www.euaene- or.aov <br /> Service ID: 100021 SID PB , GL JC JE <br /> Project Title: NOAA Fish Monitoring Delta Ponds <br /> (location and work description) <br /> Project Manager /Contact /Private Engineer: Lauri Holts <br /> • <br /> FUNDING SOURCES: <br /> City 531 Assessments Private Other Department <br /> Account Code <br /> Fed /State /Count /FAA $50,000 from NOAA ARRA grant (grant #669) (%,FIXED) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> The purpose of this GJN is to track expenses for fish monitoring work at Delta Ponds under the NOAA ARRA grant <br /> (GJN100017; grant # 669). <br /> APPROVED: <br /> Project Manager: /st ',AN` • � Date: I‘ 118 <br /> Section Manager: _ f�; f Date: _if-- a,2 /b <br /> Financial Analyst: � • , j Date: O — „/a, — 10 <br /> Division Manager: i _ �� Date: _. 2_4 —( <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 9 ► 5 5 5-01--.. ACK <br /> GL Title <br /> Assigned by: Date: <br /> Accounting by: Date: <br /> PROJECT SCOPE: • <br /> Paving: Bike lanes /paths: <br /> (wlatlls) _ (Width) <br /> Concrete walks Setback /Curbside <br /> (iengtns) (WIOLn) <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights Row required <br /> New building construction Planning, Other Remodel <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 /> 1=1 Request for Scoping Meeting Map <br /> PWM /POS 100 Revised: Aug 2010 <br /> c U <br />