Date submitted:

Estimated Cost:

Building or Asset*

Municipal Building Parks Garage Wildridge Annex Swift Gulch Portables Avon Transit Station

Nottingham Park Bathroom Fleet Bld. Cabin Sherwood Meadows Other**

**Please describe asset and specify location:

*Please note that the following buildings are not mantained by Public Works:
- Recreation Bld. (contact Rec. 748-4058)
- 3-Sided shed at Swift Gulch (contact: 748-4128)
- Bus wash (contact: 748-4128)
- Employee housing (contact Karyne Spadi: 748-4093)

Work Requested:
Describe Current Problem and Suggested Solution:

Trades Anticipated:

Plumbing Drywall Tile Electrical/Lighting Painting Roofing

Telecommunications/IT Flooring Landscaping Carpentry Other:*

Drawings/Photos Attached:

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Cost Quotes Attached:

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Name:

Contact Number:

Requested completion date (month/year):

TOA Budget Code