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Start/Stop Utility Service

This form has been modified since it was saved. Please review all fields before submitting.

Request Type*
1. Start New Service & Open Account
2. Stop Service & Close Account
Date to Start Service*
Date to Start Service
Date to Stop Service*
Date to Stop Service
Date cannot be prior to today's date.
Customer Type*
1. Owner
2. Renter
3. Property Manager/Realtor
First Name*
Last Name*
Service Address*
Is Mailing Address Same as Service Address?*
1. Yes
2. No
Forwarding Address*
City*
State*
Zip*
Mailing Address*
City *
State*
Zip*
Contact Phone*
Email Address*
Last 4-digits of your SSN#*
Drivers License #*
State of Issuance*
1. WA
2. Other
Additional Responsible Party*
Do you want to add an additional person to the utility account?
1. Yes
2. No
First Name
We may need to abbreviate the name provided in order to fit within our utility billing fields.
Last Name
Comments
Please provide any additional information