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Local form 4 august 1 2010 wes... LOCAL FORM 4 IN THE UNITED STATES BANKRUPTCY COURT FOR THE WESTERN DISTRICT OF NORTH CAROLINA insert correct division name DIVISION In re: ) ) ) ) ) ) Case No. Chapter 13 - - August 1, 2010 Debtor(s)

Eagle scout service project wo... A fillable version of the new workbook is available at www.scouting.org (click on Youth, ... The official fillable PDF version can be found at www.scouting.org.

Mo form 5060 2015 2019 Form. 5060. Missouri Department of Revenue. Project Exemption Certificate.Taxation Division. Phone: (573) 7512836. P.O Box 358. Fax: (573) 5221271.

Supplemental environmental pro... Supplemental Environmental Project Application Oregon Department of Environmental Quality Office of Compliance and Enforcement 700 NE Multnomah St., Suite 600 Portland OR 97232 Case Name and No. Project

Negotiated sale of redevelopme... NEGOTIATED SALE OF REDEVELOPMENT PROJECT AREA PROPERTIES Application Form Rahm Emanuel, Mayor CITY OF CHICAGO Department of Planning and Development Andrew J. Mooney, Commissioner Application for

Customerproject information sh... Customer/Project Information Sheet Date Received by SCE: Individual or Business Name: (Customer / Developer Tract DBA or LLC )Address:Email Address:City:State:Attn:Phone No:Legal Contact: (Individual

3 d cell project rubric edward... Name: Due Date: 3D Cell Project Rubric *Turn this into folder on due date for grading purposes! Organelles: 2 points per organelle: organelle must be present and in correct location on/inside the

Cityzipschool phone form (ALL ITEMS LISTED MUST BE TYPED)ABSTRACT The Illinois Junior Academy of Science 3 CATEGORY STATE REGION # 3001 SCHOOL IJAS SCHOOL # CITY/ZIP SCHOOL PHONE SPONSOR CHECK ONE: EXPERIMENTAL INVESTIGATION(Choice

Project submission form for ho... Project Submission Form for Hospitals Facility identifying information All sections of this form must be completed. Altered forms will not be accepted Facility name Street address City IL Project identifying information ZIP code IDPH Number Project name Type of project new/replace facility renovation/update to existing facility addition to existing facility PPS rehab unit PPS psychiatric unit Safety Net/Community hospital grant Type of submission design development drawings first stage construction/working drawings second stage Total gross square footage of project area Number of beds acute mental illness beds present proposed change ICU beds long term acute care beds long term care beds medical/surgical beds neonatal beds obstetric beds pediatric beds rehabilitation beds TOTAL Form Number 443086 rev 12-2017 Page 1 of 7 IF THIS PROJECT CHANGES THE FACILITY S LICENSED BED COUNT BY ADDING OR REDUCING BEDS IT WILL BE NECESSARY TO CONTACT THE HEALTH FACILITIES AND SERVICES REVIEW BOARD. Certificate of Need Submit a copy of the approved certificate of need CON. A review by the Department WILL NOT begin until a CON or appropriate documentation is received* Written documentation from the Health Services and Review Board may be requested indicating a CON is not required* CON project number Date approved Is this a phased occupancy project Yes No If yes attach an occupancy schedule describing the rooms to be occupied in each phase with a small scale graphic plan Mail completed submission to Illinois Department of Public Health Design and Construction Section 525 W* Jefferson Street Fourth Floor Springfield IL 62761 For questions please call 217-785-4264 Drawing submission Provide one set of signed/sealed drawings and outline specifications for review in accordance with Section 250. 2430 of the Illinois Hospital Licensing Requirements. This includes design development drawings and outline specifications and working/construction drawings and specifications. Drawings are not to exceed 30 x 42. Estimated project cost 1. Site preparation costs 2. Demolition costs 3. Construction contracts including cost of materials 4. Change orders Subtotal - lines 1 thru 4 6. Fixed capital equipment Add lines 5 and 6 If the fixed capital equipment is not more than 51 percent of the total cost then use line 7 for the plan review fee calculation below. 8. If line 6 is 51 percent more than line 7 then multiply line 6 by. 20 Place the total adjusted estimated project cost in the appropriate estimated project cost category listed below. diagnostic equipment MRI scanners X-ray equipment etc. Equipment which is part of the building such as AHU boilers chillers lights fire alarm panels and all related components are to be included in the construction costs. Plan review fee calculation The plan review fee is due and payable upon submission of this form along with the drawings and required information* Using the figures in line 7 or line 9 whichever is applicable calculate the plan review fee.

Town of cary project modificat... Application/Permit # - PROJECT MODIFICATION This form must be completed for all projects whenever you wish to change the scope of work as described on the original application. PROJECT INFORMATION

Title of example project from... G. KEY PERSONNEL PARTICIPATION IN EXAMPLE PROJECTS 26. NAMES OF KEY PERSONNEL (From Section E, Block 12)27. ROLE IN THIS CONTRACT (From Section E, Block 13)28. EXAMPLE PROJECTS LISTED IN SECTION F (Fill

Project ority form 1346910 REQUISITIONER11. DATE3035363971415F. SUPPLEMENTARY ADDRESS 4550 44DOCUMENT IDENTIFICATION 18F. DISTRIFUND BUTION 51 5253 545616F. SIGDOCUMENT NUMBER13. DEMDOC. IDEN.2. 3. ROUTING IDEN.M&S1.17.19.20. 21. REQ\'D PRIDELIVERY PROJECT

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