1l k f~C'' uS~ s-- <br /> ~ Facility Management <br /> PROJECT AUTHORIZATION FORM central services <br /> City of Eugene <br /> Service ID (Good Job Number) ~ 210 Cheshire Avenue <br /> Eugene, OR 97401 <br /> (541)682-2690 <br /> Project Title: J r ~ ~ ~ ~ ~ <br /> Dept/Div and work d scrip ion. Example: LRCS Campbell Center Reroof <br /> Project Manager: ~N~,~,(~~V>2~,~ <br /> PROJECT SCOPE: Planning Remodel New building construction Energy <br /> Land Improvements (Parks) Equipment <br /> FUNDING SOURCES: Fund Org Project 2- I y <br /> General Fund CIP Category: <br /> Federal orothersources: fixed) <br /> COMMENTS /SPECIAL PROJECT INFO /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> i l !/L'I~~ S <br /> ~ ~ ~L <br /> <br /> .~5 . I <br /> i <br /> APPROVED: <br /> Project Manager Date ~ ~Z ~ f <br /> O <br /> Section Manage IDate <br /> Division Manager Date Z S _ <br /> 2 FOR USE BY ADMIN <br /> Capital Project No. ~ 3 cJ~~ 2 ACK 1 ~ X35 L~xx~x "I ~JJ~~ 2 <br /> GL~'dle L~ i~Y' i! ~1 ~~L~ (?~`C 1G ~.i'"l ~~~I V Y'~ <br /> Assigne by ~ Date <br /> ~~~,~d <br /> ATTACHMENTS budget Estimate O CIP Spreadsheet ? ADATransition Plan ' <br /> L._ <br /> ' White - Office File Yetlow -Project Manager Re?! 0302 <br /> <br />