Forms • Snohomish, WA • CivicEngage

Utility Payment Arrangement Application

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Date:*
First and Last Name*
Service Address (98290 zip code only):*
Account Number:*
Phone Number:*
Email Address*
Original Due Date of Bill*
Please enter the amount you are able to pay today if this payment arrangement application is approved?*
Date remainder will be paid:*
Questions or Comments:
Application Verification If payment is not received in full by the date above or 30 days from the service terminated date noted on the bill, I understand my water service will be shut off and a $50.00 fee will be added to my utility bill. I also understand I’m limited to 2 payment arrangements per 12 month period, per SMC 15.05.060. Please enter full name below: *
Once you submit the utility payment arrangement application a staff member will contact you via email to confirm or deny your request. Please allow at least one business day for a response. If you have a question you may email utilitybilling@snohomishwa.gov.

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