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<br />CAPITALPROJECT/ACTIVITYCODEREQUESTFORM <br />8EQQ]7QMXL <br />4YFPMG;SVOW <br />Personrequestingcode:Dept: <br /> <br />CodeRequested:EffectiveDate: <br />3JJWMXI7;8VIEXQIRX1MXMKEXMSR <br />Title(): <br />max30characters <br />DetailedDescriptionofProject/Activity: <br />*SVTVSNIGXWXLEXGERYWIXLIRI[7XSVQ[EXIV0-(*IIMR7IGXMSR <br /> <br />H <br /> <br />-JWIPIGXMRKSJJWMXIWXSVQ[EXIVUYEPMX]QEREKIQIRXF]GSRXVMFYXMRK <br />XSXLITYFPMGSJJWMXIWXSVQ[EXIVUYEPMX]JEGMPMXMIWXLVSYKLTE]QIRX <br />SJELMKLIVWXSVQ[EXIVW]WXIQHIZIPSTQIRXGLEVKIEHSTXIHEW <br />TEVXSJXLI'MX] WW]WXIQHIZIPSTQIRXGLEVKIQIXLSHSPSK]XLI <br />ETTPMGERXWLEPPWYFQMXEVITSVXXLEXHIQSRWXVEXIWXLIVIMW <br />MRWYJJMGMIRXPERHEVIEXSGSRWXVYGXERETTVSZIHMRJMPXVEXMSRSV <br />JMPXVEXMSRJEGMPMX]F]WIXXMRKJSVXLXLIVIUYMVIHWM^ISJXLIWQEPPIWX <br />MRJMPXVEXMSRSVJMPXVEXMSRJEGMPMX]RIIHIHJSVXLIHIZIPSTQIRX W <br />MQTIVZMSYWWYVJEGIEVIEERHEWMXITPERHIQSRWXVEXMRKXLEXER <br />ETTVSZIHMRJMPXVEXMSRSVJMPXVEXMSRJEGMPMX]GERRSXFIPSGEXIHSRXLI <br />HIZIPSTQIRXWMXI[MXLSYXVIHYGMRKXLIWM^ISJXLITVSTSWIH <br />HIZIPSTQIRX[LMGLMWSXLIV[MWIGSRWMWXIRX[MXLEPPSXLIV <br />ETTPMGEFPIPSXERHHIZIPSTQIRXWXERHEVHW <br />*YRHGPEWWGSHI <br />FundstobeusedwithProject/Activity: <br />Isthisprojectforastudy,evaluationorotherplanningcosts?: <br />Isthisprojectforrepairormaintenanceofanexistingasset?: <br />=)7 <br />(Maintenanceincludes:Painting,flooring,windows,signage,roofrepairs,interiorremodeling,etc.) <br />Doesthisprojectincludepurchaseofequipment? <br />23 <br />ApproximateApproximate <br />Budget:EquipmentCost: <br />