Physical Plant Work Order Form
ADVERTISEMENT
1Wright State University
216000
216003
Physical Plant Chargeable Services
216001
Grounds
Request
216002
Custodial
Work Order Number
1. Name of Requestor
2. Department
3. Date
4. Requestor Email Address
5. Phone Number and Fax Number (Required)
6. Location of Work (Building)
7. Room Number
8. Date Needed
9. Complete Description of Work/Project/Name of Event:
FOAPAL to be charged
Fund
Organization
Account
Program
Activity
Location
70005
Dept Chair/Director (required)
Requesting Dept. Business Manager (required)
Name (Print)
Name (Print)
Signature:
Date:
Signature:
Date:
*Minor Constuction Project Approving Authority (Dean or VP signature required)*
Name (Print)
Title (Dean/VP)
Signature:
Date:
Physical Plant Signature
Project Request Approval
Design & Construction
EH&S
Name (Print)
Signature:
Date:
Authorized Approver Signature(s)
(Physical Plant Use Only)
10. Total Estimated Cost:
11. Date of Estimate:
12. Final Cost:
Labor
Materials
Labor
Materials
*Reason for Work / Project
□
□
□
Renovation
Maintenance / Repair
Life Safety
*Please deliver signed/completed form to : 065 Allyn Hall *
Physical Plant Work Order Form 8/28/2017
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business