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TVWSD Water Meter Purchase Application

Page 1

Teton Village Water & Sewer District FY25-26 Water Meter Purchase Agreement

PO Box 586, 7020 Rachel Way, Teton Village, WY 83025 Instructions: Please complete all sections of this agreement and deliver to the District Office. A battery powered transceiver is required for every installed meter to enable remote automatic meter reading. After installing the water meter, please schedule a transceiver installation with the District Operators at (307) 7339231. If there are any questions, please call the District Office at (307) 733-5457. All work must be done in accordance with the Teton Village Water & Sewer District Rules & Regulations. OWNER INFORMATION Printed Name: Billing Address: Phone #:

(City)

(State)

(Zip)

(State)

(Zip)

Email: PURCHASER INFORMATION (If other than owner)

Printed Name: Mailing Address: Phone #:

(City)

Email: METER INSTALLATION LOCATION

Description: Street Address:

Lot #: OWNER OR PURCHASER SIGNATURE

Signature:

Date: THE FOLLOWING DISTRICT SIGNATURES ARE REQUIRED (For District Use Only) Order Received

District Employee:

Date:

Date Copy Sent to Plant:

Account #:

Installation Inspection, Transceiver Installation & Testing Approval District Employee:

Date MXU Installed:

Employee Signature:

Page 1 of 2

Revised: August 28, 2025


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TVWSD Water Meter Purchase Application by TVDO - Issuu