Everett School District No. 2
MAINTENANCE REQUEST FORM
Maintenance Use Only
Everett School District No. 2
MAINTENANCE REQUEST FORM
Site:
Date:
Requested by:
Building:
Room #:
Type of Work :
Carpentry Electrical Grounds HVAC Locks
Paint Plumbing Windows _______________
Description:
Debit Code:
Cause:
Principal/Building Manager ________________________________________________
Head Custodian __________________________________________________________
Maintenance Use Only
Priority 1 2 3 4 Asbestos
Assign to: ______________________________________
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