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\ PROJECT AUTHORIZATION FORM <br />Public Works <br />t t <br />1000044 Wild Iris Ridge Trail <br />Service ID: Project Title: <br />(include location and work description) <br />John Clark 4826 <br />Project Manager /Contact: ' Phone Ext: <br />PROJECT SCOPE ❑ Planning ❑ Construction ® Repair /Reconstruct ® Maintenance <br />FUN DING SOURCES AN AMOUNTS <br />$ <br />City (Acct Code): _ <br />187 -9335 $ 9103 <br />Donations: <br />Other Dept: � <br />Other Agency: <br />I <br />If multiple funding sources, please list all fund /project #s contributing to overall project: <br />C OMME NTS /SPECIAL PROJECT INFOA NTERDEPARTMENTAL WORK DESCRIPTION: <br />Eugene Parks Foundation will be donating funds for the repair and maintenance of Wild Iris Kiage i rau. <br />COE CONTRACTS <br />FOR USE BY ADMINIS ONLY: <br />Capital Project No.: ACK GL Title: 8 <br />GL Title: (limited to 30 characters) <br />Assigned by: Date: <br />❑ SID ❑ PB ❑ GL ❑ JC ❑ JE# <br />A TTACHMENT S: rl Bu E ❑ Revised Budget ❑ Map ❑ Other <br />APPROVED (Each approver should type their name into the form, along with the date they acknowledge approval, <br />then forward the document to the next approver. When all approvals have been completed, forward the approved <br />document with the approval email string to the Contract Administrator for processing.): _ <br />Project Manager: Date. <br />Section Manager: <br />Financial Analyst: <br />Division Manager: <br />Date: I I `q 1 2 V5 <br />Date: ` 7 1 <br />Date. / G <br />PWM /POS 100 Revised: Sept. 2012 <br />