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<br />CAPITALPROJECT/ACTIVITYCODEREQUESTFORM <br />8EQQ]7QMXL <br />4YFPMG;SVOW <br />Personrequestingcode:Dept: <br /> <br />CodeRequested:EffectiveDate: <br />+MPPIWTMI&YXXI)RXV]6IHIWMKR <br />Title(): <br />max30characters <br />DetailedDescriptionofProject/Activity: <br />8LMWTVSNIGXMWJSVHIWMKR[SVOHIWMKRVIZMI[ERHGSRWXVYGXMSRGSSVHMREXMSR[MXLXLIHIZIPSTIVWSJXLIRI[ <br />7O]GEWXPI,SYWMRKHIZIPSTQIRXEVSYRHXLIFEWISJ+MPPIWTMI&YXXI8LIVIEPMKRQIRXSJ'VIRWLE[7XVIIX[MPP <br />GVIEXIWMKRMJMGERXMQTEGXWXS+MPPIWTMI&YXXI4EVOXLEXXLIHIZIPSTIVLEWEKVIIHXSQMXMKEXI7XEJJHIWMKRERH <br />GSSVHMREXMSR[SVO[MPPTITEMHJSVF]XLIHIZIPSTIVXSEWWYVIHIWMKRERHGSRWXVYGXMSRSJEWEJIERHETTVSTVMEXI <br />EGGIWWMRXSXLITEVO <br /> <br />FundstobeusedwithProject/Activity: <br />=)7 <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 />