Everett Public Utilities Request Form
Step 1.
Contact Information
A contact name, address, and telephone number are required.

First Name: M: Last:
Address 1:		Email:
Address 2:
City:
State:		Zip Code:
Telephone where you can be reached between 8 a.m and 5 p.m. Monday through Friday:
Phone		Alternate:

What service are you requesting:

» Request New Service » Request a Final Bill » Change in Service (change in billing or contact information)