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APPENDIX 3. CONSTRUCTION COST ESTIMATE
OUTLINE (PHS GPS 9505)

THIS IS A SUGGESTED FORMAT AND IS NOT TO BE CONSTRUED AS A REQUIRED FORM.

Estimate the costs in which the Federal Government is requested to participate.

1. Demolition $ _______________
2. General alteration and renovation (e.g., carpentry, masonry, painting)$ _______________
3. Plumbing $ _______________
4. Heating, ventilation, and air conditioning $ _______________
5. Electrical $ _______________
6. Architect's and engineer's fees $ _______________
7. Other costs (specify) $ _______________
8. TOTAL ALTERATION AND RENOVATION COSTS
(to Federal Government)		 $ _______________
9. Fixed equipment $ _______________


LIST SOURCE AND AMOUNT OF FUNDS FOR TOTAL ALTERATION AND RENOVATION PROJECT:

PHS SOURCES AND AMOUNTS: ALL SOURCES AND AMOUNTS OTHER THAN PHS:
__________________________________ ___________________________________________________
__________________________________ ___________________________________________________
__________________________________ ___________________________________________________
__________________________________ ___________________________________________________
__________________________________ ___________________________________________________


Total net square feet of floor area in alteration
and renovation proposal		 _________________
Estimated cost per net square foot, excluding
fixed equipment		 $ _______________


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