<br />CAPITALPROJECT/ACTIVITYCODEREQUESTFORM <br />8EQQ]7QMXL <br />4YFPMG;SVOW <br />Personrequestingcode:Dept: <br /> <br />CodeRequested:EffectiveDate: <br />%QE^SR8IRRMW'VX(IGSQQMWWMSR <br />Title(): <br />max30characters <br />DetailedDescriptionofProject/Activity: <br />8LIXIRRMWGSYVXWMR%QE^SR4EVOEVIFIMRKHIGSQQMWWMSRIHXSQEOIVSSQJSVXLIRI[6SSWIZIPX <br />1MHHPI7GLSSP8LITVSNIGX[MPPTE]XSVIQSZIXLII\MWXMRK7TSVX'SYVXXMPIWEXXLIXIRRMWGSYVXWERH <br />TEPPIXM^IXLIQMRTVITEVEXMSRWEPIF]XLMVHTEVX]ZIRHSV <br /> <br />FundstobeusedwithProject/Activity: <br />Isthisprojectforastudy,evaluationorotherplanningcosts?: <br />Isthisprojectforrepairormaintenanceofanexistingasset?: <br />(Maintenanceincludes:Painting,flooring,windows,signage,roofrepairs,interiorremodeling,etc.) <br />Doesthisprojectincludepurchaseofequipment? <br />ApproximateApproximate <br />Budget:EquipmentCost: <br />