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_ _ . _ <br /> ~i,D Pb ~ ~ <br /> ~ ~ <br /> ~ - Facility Management <br /> PROJECT AUTHORIZATION FORM central services <br /> ' City of Eugene <br /> j Service ID (Good Job Number) 210 CheshireAvenue <br /> ~ Eugene, OR 97401 <br /> (541) 682-2690 <br /> ~ Project Title: / ~ /I/oYlli ~~~~~~j <br /> Dept/Div and work description. Example: LRCS Campbell Center Rer <br /> Project Manager: ~ l~(I <br /> i <br /> I. <br /> PROJECT SCOPE: Planning Remodel New building construction Energy <br /> i Land Improvements (Parks) Equipment <br /> FUNDING SOURCES: Fund Org Project <br /> General Fund CIP Category: <br /> i <br /> Federal or other sources: fixed) <br /> COMMENTS /SPECIAL PROJECT INFO /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> T <br /> I~ <br /> . <br /> <br /> i <br /> , <br /> s - <br /> M1,~~. <br /> APPROVED: <br /> Project Manager Date • 7' ~Z--~ <br /> Section Manager /,mss Date <br /> u?Division Manager ~ - ~O~` Date ~y <br /> /I'' FOR USE BY ADMIN <br /> Capital Project No. ~ J~~73 ACK `7 y ~~~xx `9 3~~ <br /> GLTitle G~~ <br /> f~ <br /> - Assigned by Date ~ ~ ' ~ 7` ° D ~ <br /> i <br /> i <br /> j ATTACHMENTS ? Budget Estimate ?CIP Spreadsheet ? ADATransition Plan <br /> White -Office File Yellow -Project Manager Reu. 0302 <br /> i <br /> <br />