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. _ <br /> ' ~ ~ Facility Management <br /> OJECT AUTHORIZATION FORM Central services <br /> City of Eugene i <br /> l I ~ 210 Cheshire Avenue , <br /> Service ID (Good Job Number) Eugene, OR 97401 <br /> ~ ' <br /> (541)682-2690 <br /> <br /> y, ~ G C~ <br /> Project Title: <br /> Dept/Div ands t~o`rk-~description. ~Ex~a/mple: LRCS Campbell Center Reroof <br /> Project Manager: V <br /> ~ ~.~a(,~W <br /> PROJECT SCOPE: Planning Remodel ~ New building construction Energy <br /> l <br /> Land Improvements (Parks) Equipment j <br /> FUNDING SOURCES: Fund ~ ~ ~ Org ~ ~ Project ~(~JCX ~ ~ Z~ Zj <br /> General Fund CIP Category: ~I ~-~-1~ 7~~1~~~? - <br /> Federal or other sources: fixed) <br /> COMMENTS /SPECIAL PROJECT INFO /INTERDEPARTMENTAL WORK DESCRIPTION: , <br /> C o~ <br /> u <br /> l <br /> APPROVED: <br /> Project Manager / ~ / ~ _ _ Date <br /> Section Manager Date <br /> Division Manager dn~`^" Date ~(o <br /> FOR USE BY ADMIN <br /> Capital Project No. -t ~ ~ ~ ACK (Z ~ 1..-r' Kxxx ~ I ~G ~ <br /> ~ j~ <br /> .Y~ Assign d by ~ J Date ~Z~~ <br /> ATTACHMENTS ? Budget Estimate ?CIP Spreadsheet ? ADATransition Plan <br /> White -Office File Yellow -Project Manager Rev. 0302 <br /> <br />