The University of North Carolina at Asheville
                            Alteration/Remodeling/Renovation
                                      Request Form
       
       Requested By: __________________________   Date __________________
                       
       Department:   ____________________________________________________
                                                                                                
       Vice Chancellor: _________________________________________________                                                                                            
                                  Signature
       Building Name: ________________________   Floor Level: ___________ 
               
       Date Requested For Project Completion: ___________________________
                                                     
       Type of Improvement Requested (As Detailed As Possible):  ________

       __________________________________________________________________

       __________________________________________________________________

       __________________________________________________________________

       __________________________________________________________________
                       (Attach Extra Page If Necessary)
       Available Funds:________  Source of Funds:_______  Acct. No.______

                (Send to University Architect for Review and Comment)       
                                                                                                                         
       Reviewed By Physical Plant:     Yes _____       No _____
           
       Estimated Construction Cost: ___________________________

       Estimated Schedule: ____________________________________
  
       Recommendation:
       ___ In-House Design  ___ Design Consultant  ___ CI Project

       ___ In-House Const   ___ Bid Construction   ___ Non-Capital Project
       
       Remarks: __________________________________________________________

       ___________________________________________________________________

       ___________________________________________________________________

       ___________________________________________________________________

       ___________________________________________________________________
                         (Attach Extra Page If Needed.)

       Reviewed By:                  Authorization By:
                                                     
       Ron Reagan, AIA               Arthur P. Foley
       University Architect          Vice Chancellor for Financial Affairs
       
       cc:   Originator
             File
       Form CIPFP-01 (5/95)