Pacifica Retirement Residence
MAINTENANCE REQUEST
Task Type
[Please Select One]
Building repairs
Electrical /Lighting
Fire & Life Safety
General Maintenance
Heating/Cooling Air & Water
Housekeeping
Nurse Call-Security-Access
Other
Paint / Patch
Plumbing - Water & Drain
Resident-Family Request
Building Area
[Please Select One]
Exterior
Fourth floor
P1 PARKING
First floor
Strata Parkade P2
Third floor
Second floor
Fifth floor
MechElect utility
Admin Offices / Reception/
Kitchen food handling area
Laundry/service area
Room#
Details
Your Name
Your Email Address
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MAINTENANCE REQUEST CONFIRMATION
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Date Created:
{date_created}
Type:
{type}
Area:
{area}
Room:
{room}
Comments:
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