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_ _ _ _ _ <br /> . _ _ <br /> Ii ~ ~ ~ - <br /> I <br /> I Facility Management <br /> PROJECT AUTHORIZATION FORM central services <br /> - City ofi Eugene <br /> 210 Cheshire Avenue <br /> Service ID (Good Job Number) ~ Eugene, OR 97401 <br /> (541) 682-2690 <br /> ~ <br /> Project Title: ~ 1~ . ~ C~ ~ ~'4 ~i <br /> Dept/Div and work description. Example: LRC 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 /> I <br /> General Fund CIP Category: <br /> Federal or other sources: fixed) <br /> <br /> E <br /> COMMENTS /SPECIAL PROJECT INFO /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> G 2. <br /> ~ ~ <br /> 4 <br /> _ ~ ~ 3 G <br /> i < ~ 4 ~t <br /> ~ ~ c a <br /> $ r <br /> APPROVED: <br /> ,R. <br /> Project Manager ~ ~ ~ Date G> C% fZ--- <br /> Section Manager Date c~~~~d~ <br /> Division Manage ~ Date `~/G <br /> FOR USE BY ADMIN ` / <br /> Capital Project No. %~J~~ ACK ~~I `7 ~ ~x~~ / 1 <br /> GLTitle /~1f1 ('7~/~ ~~5 ca~.j~ C.Q~~'M~'J~jC3~'1 <br /> ~ <br /> f <br /> Assigned by Date ° <br /> ATTACHMENTS ? Budget Estimate ?CIP Spreadsheet ? ADATransition Plan <br /> White -Office File Yellow -Project Manager Rev. 0302 <br /> <br />