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Project Scope and Budgetary Estimate
Office of Facilities Design and Construction
Project Scope and Budgetary Estimate Form

(Please print this page, fill out the form and return to the address below.)

Project Title: ______________________________ Location: ________________________________

Requestor:__________________ Phone:________ Facilities Lead: _____________ Phone: ________

Project Justification/Scope (attach additional sheets if necessary):

Scope/Budge Estimate Does Not Include:


Facilities Manager Support:  Yes  No, because _________________________________________


Budgetary Estimate:

Materials: $____________ = %______ Basis: __________________________________

Labor: $____________ = %______ Basis: __________________________________

Project Total: $____________ Estimated by: ____________________ Date: ___________


Department Dean or VP Acceptance: (acceptance implies project will be forwarded for prioritization & scheduling)

Scope & Budget Acceptance:

_____________________________________ _____________________ _______________
(Name) (Title) (Date)

Please list any special schedule or fiscal considerations:

Return to: Facilities Design & Construction, 165 Wilber Hall


For Facilities Use Only:
Initial Approach:  LMI  LMA  MLS  MRH  CLA  CLH  CCF  CDA  Other________

 Last Updated: 7/9/07