FACILITY MAINTENANCE REQUEST Date (m/d/year) Requestor- (Name - Phone Number) Requestor (Phone) ((Emergency or Date Service Needed) Requestor (E-Mail)- ((Emergency or Date Service Needed) Work Request Urgency Prompt Urgent Emergency *Enter date, if urgent or emergency* (m/d/year) Additional Instructions/Comments   Brett Foss Principal/Broker Direct Dial: 651-503-1864 Boup Foss Manager Direct Dial: 612-232-6136 Renee Foss Accountant Direct Dial: 952-431-1095

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