Facility Services Project Request Form Page 2

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8.
Desired Completion Date:
9.
Comments:
10.
Additional Information (Please check all known requirements)
ARCHITECTURAL
FINISHES
SPECIALTIES
FURNISHINGS
White/Tack Boards
Walls/Partitions
Plastering
Window Treatments
Masonry/Concrete
Drywall
Chalkboards
Fixed/Movable Seating
Windows
Wall Covering
Toilet/Shower
Modular Office Furniture
Doors/Hardware
Painting
Storage Shelving
Laboratory Furniture
Waterproofing
Vinyl Tile/Base
Access Flooring
Display Case
Insulating
Carpet/Base
Directories/Signs
Bookcase Shelving
Roofing/Gutters
Suspended Ceiling
Other
Custom Woodwork
Other
Other
Other
MECHANICAL
ELECTRICAL
PLUMBING
OTHER SERVICES
Window A/C
Lighting Fixtures
Domestic Water
Move/Rearrange
Central A/C
Receptacles/GFI
Distilled Water
Special Event
Temp/Humid
Telecom Outlets
Air, Gas, Vacuum
Landscaping
Controls
Power if not 120V
Sink/Fixtures
Fencing
Ductwork
Dedicated Circuits
Toilet/Fixtures
Rekey Door Hardware
Diffusers/Grilles
Fire Alarm
Drain/Vent
Asbestos Removal
Exhaust Fan
Emergency
Fire Sprinkler
Demolition
Fume Hood
Lighting
Other
Custodial
Other
Other
11.
Desired Action to be Taken: (Select ONE of the following):
Quotation / Estimate
Construction (Requires payment in full/Confirming Quotation will be issued after estimate is complete)
I authorize this expenditure and sufficient funds will exist for this expenditure and it complies with University fiscal policies.
Budget Approval Signature: __________________________________________________________________________
Customer Standing Order Number: _____________________________________________________________________
Project Manager Assigned: ____________________________________________________________________________
You will have the opportunity to attach a file when you click the submit button
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