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Public Works Service Request

2. For immediate assistance please contact our 24-hour emergency number at 425-257-8821. The email account this service request is delivered to is not monitored 24 hours per day.

4. Disclaimer*

   This online form is not monitored after hours or on weekends. If you need immediate assistance, call the 24-hour dispatch line at 425-257-8821.

   1. I understand.
6. Contact Information
   This information will be used to contact you. A contact name, address, email, and telephone number are required.

   This information will be used to contact you. A contact name, address, email, and telephone number are required.

8. First Name*

9. Last Name*

11. Address1*

13. Address2

15. City*

16. State*

17. Zip*

19. Phone Number*

20. Alternative Phone Number

22. Email Address*

24. Location of Service Requested if different than contact address. Please include cross streets and landmarks.

26. Please describe the type of request, problem, or concern:

Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field