Email Address:
Phone Number:
Campus Secretary:
Email Address:
Phone Number:
Campus Contact Person:
Email Address:
Phone Number:
Name of Organization's Contact Person:
Name of Organization/Support Group Proposing the Request:
Room #:
Location at Facility:
Campus/Facility:
Describe equipment to be purchased or facility modification/addition. All purchases require quotes/specs. Attach site plans, floor plans, sketches, photos detailed plans, architectural/engineering designs. No purchases or down payments can be made before final approval.
If ESC, Choose Department:
Vendor#:
*To identify district approved service providers, contact the District Purchasing Department for assistance.
Vendor/Service Provider's Name and Address:
Phone Number:
Email Address:
Who will install the equipment or implement the modification/addition? (Check all that apply)
"Building and Landscape Modification" Request for Approval of Equipment Purchase or Facility Modification/Addition
Katy Independent School District
This form must be completed and approved PRIOR to any PURCHASE or INITIATION of facility modification/addition. A complete summary of funding sources/plans and project description must be submitted with this request.
District Budget Code:
District Budget Code:
Alternate Funding Source for this Project:
Estimated Total Cost of Project:
Funding Source for this Project:
Date:
Email of Principal Submitting Request:
Initial Approver:
Date of Request:
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