Fillable Facility Modification Request (Utah State University)

Fill Online, Printable, Fillable, Blank Facility Modification Request (Utah State University) Form

Use Fill to complete blank online UTAH STATE UNIVERSITY pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Facility Modification Request (Utah State University)

On average this form takes 5 minutes to complete

The Facility Modification Request (Utah State University) form is 1 page long and contains:

  • 0 signatures
  • 1 check-box
  • 18 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Utah State University

BROWSE UTAH STATE UNIVERSITY FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Facility Modification Request
(Green Sheet)
Date: _______________________
__
Project Number: _________________________
Facilities only
All proposed modifications to university facilities (buildings, utilities, site work, etc.) must be submitted for
approval using this form. Projects will be reviewed and, if approved, designed to ensure compliance with
building codes and university standards for construction.
PROJECT LOCATION PROJECT REPRESENTATIVE
Building Name or Location Name
Room Numbers Phone FAX UMC
REQUIRED SIGNATURES
Name of
Department Head or Director Signature
Name of Dean or VP Signature
PROJECT JUSTIFICATION: _________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
PROJECT DESCRIPTION: _________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
FUNDING: Index #
____________________________________________________________
Project funds must be sufficient to cover the cost of design, construction, and a contingency for changes.
All project funds must be available before construction or bidding can proceed.
FEES: Construction Cost FP&D Design Fee Consultant/Design Fee
Under $10,000 8% 15%
$10,000 -$50,000 6% 12%
over $50,000 4% 9%
A 4% fee for mana
g
in
g
p
ro
j
ects will be added to the above desi
g
n fees.
Check with PD&C Space Coordinator
Revised November 17, 2016
Email: Jed.waldron@usu.edu
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Facility Modification Request (Utah State University)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 2 February 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document