Abstract: Utility modules used to form a utility distribution system, where the utility modules are disposed on a foundation with the construction of a building, and where the utility modules may be covered with panels. The utility modules include coupling elements at edge regions and at major surfaces thereof. When coupled together, the utility modules can form a utility distribution system which is used to distribute utility services throughout a building. The utility services can be provided by a utility service system, which preferably comprises a fuel cell.