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Facility Management <br /> PROJECT AUTHORIZATION FORM Central services <br /> City of Eugene <br /> j 210 Cheshire Avenue <br /> Service ID (Good Job Number) Eugene, OR 97401 <br /> (541) 682-2690 <br /> Project Title: 6 <br /> Dept/Di an w rk description. xample: RCS Campbell Center Reroof <br /> Project Manager: <br /> PROJECT SCOPE: Planning Remodel New building construction Energy <br /> Land Improvements (Parks) Equipment <br /> FUNDING SOURCES: Fund Org Project <br /> General Fund CIP Category: <br /> Federal or other sources: fixed) <br /> COMMENTS /SPECIAL PROJECT INFO /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> i <br /> <br /> I ` ` ~1 " t <br /> <br /> i p. <br /> r i <br /> ' ` <br /> a <br /> i <br /> i <br /> sl it <br /> I ~ <br /> <br /> i <br /> i <br /> APPROVED: <br /> Project Manager Date <br /> f~:. d,~....,_. <br /> Section Manager Date ~ ~ ~ Q <br /> Division Manager Date <br /> FOR USE BY ADMIN_ , <br /> Capital Project No. ~ ~ / ~ ACK ~ ~ ?~~`u`~~` ~~°"j®~`J <br /> I <br /> GL Title /-1'iP ~r TJr~' /f <br /> I') ~/ZC7~(i ~E~T~' <br /> ' Assigned by v~~~ Date ~/l`~~~ ~ <br /> ATTACHMENTSS` ? Budget Estimate ?CIP Spreadsheet ? ADATransition Plan <br /> i _,~;1~~ White -Office File Yellow -Project Manager Rev. 0302 <br /> <br />