Teton Village Water & Sewer District Fiscal Year 25-26 Connection Application for Residential Customers
(307) 733-5457 • office@tetonvillagewy.gov • 7020 N Rachel Way • PO Box 586 • Teton Village, WY 83025 Instructions: Please complete all sections of this application to document the building’s plumbing fixture units (FUs) and either the equivalent residential units (ERUs) or the average peak occupancy (APO) at the end of the project. Remodel projects need a second application form to provide the same information from before the remodel so the District can credit previously authorized FUs, ERUs or APOs. Please deliver the following to the District office at least one week prior to a regular Board Meeting: 1. The completed Connection Application(s). 2. A set of plans showing the location and type of all plumbing fixtures. 3. A site plan showing the location of all service lines, water meters and backflow preventers. 4. A set of plans showing the design & location of all grease traps and interceptors. When the District approves the Connection Application, you will be notified of the Connection Fee due. Approved connection fees & a nonrefundable review fee of two hundred fifty ($250) dollars will be billed via the properties monthly water and sewer bill. **Adjustments to final fixture count and connection cost, approved on this application, may be made to reflect significant changes generated during construction. The Connection Permit is issued when the Connection Application is approved & the Connection Fee is paid. All water use must be metered, and all meters must be supplied by the District. If you need a meter, please complete a Water Meter Purchase Agreement, available online https://tetonvillagewy.gov/construction/residential-permits/ws-applications-and-connections/ All work must be done in accordance with the Teton Village Water & Sewer District Rules & Regulations. All District maps are approximate. Ensure actual utility locations are marked by the appropriate utility. PROPERTY OWNER INFORMATION Printed Name: Billing Address:
(City)
Phone #:
(State)
(Zip)
(State)
(Zip)
Email: APPLICANT INFORMATION (If other than owner)
Printed Name: Mailing Address:
(City)
Phone #:
Email: PROJECT INFORMATION
Description: Street Address: Type (check one): ______ New construction
Lot #: ______ Remodel
Contractor’s Name:
Phone #:
Plumber’s Name:
Phone #:
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Approved for: July 1, 2026