Facility Requests

facility Requests September 26, 1994 EXECUTIVE OFFICE OF THE PRESIDENT NO: 1. Org. Code -White Office of Administration 19292 House FACILITY REQUEST 2. Charged To: (GSA Use Only) READ INSTRUCTIONS ON BACK BEFORE FILLING OUT THIS FORM I. ADMINISTRATIVE COORDINATOR 3. Name 4. Agency 5. Room 6. Phone Ickes/Debbie Bird WHO GR FL/WW 62459 II. WORK TO BE PERFORMED FOR 7. Name 8. Agency acc't to be charged 9. Room 10. Phone Ann Castagnetti/Debbie Bird Check if estimate requested III. WORK ORDERS 11. CONSTRUCTION/CARPENTRY Furniture Repair Locksmith Services Other The plastic under the two desks is cracked. Need new (chair slides) plastic will have to be measured. 12. DECORATOR SERVICES Select Furniture Touch-up Reupholstering Painting Carpet Other 13. MOVING Furniture Safes Other (Attach copy of this form to EACH item being moved; Indicate specific description and destination of each item or group of items; A completed SF-120 MUST be attached to this form for all items being excessed) 14. ELECTRICAL Outlet Cable Other 15. TELEPHONE SERVICES New Lines Remove Lines Reconfiguration New Equipment Other 16. CLEANING Carpet Furniture Drapery 17. AGENCY AUTHORIZATION 18. DATE 19. FACILITIES AUTHORIZATION 20. DATE OA FORM 36 Rev. August 1991 HOLD THIS COPY UNTIL WORK IS COMPLETED, INITIAL AND RETURN TO FACILITIES MANAGEMENT