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1907 PUBLIC WORKS CITY OF YERINGTON NEVADA Application for Connection to Municipal Water and/or Sewer System Please read and understand the following instructions to avoid confusion and delay: A: B: C: D: Steps to complete the application process for NEW Water or Sewer Service: Request W a ill Will Ser Serve L Letter. Send an email to [EMAIL REDACTED] that includes the APN, your name and the services requested. This letter will be emailed back to you and mailed to the current property owner. Complete the Applic Application ation on the next page and attach a valid Will Will Ser Serve L Letter. Mail to the City of Yerington 14 E GOLDFIELD AVE Yerington NV 89447 or email to [EMAIL REDACTED]. The City will return a New Con w Connect A nect Agree reement ment that includes the fees required for installation. Please complete any additional information and submit to City Hall along with full payment. The City will commence construction within 30 days or at a later date if arrangements have been made for a future installation. NEW CONNECT ONLY NEW CONNECT ONLY 1: When to use this form: This application must be submitted to the City of Yerington when applying for a new physical connection to the City owned and maintained Water and Sewer system. 2: When NOT to use this form: If the property already has a Water and/or Sewer connection and you simply wish to restart service. In this case, contact Yerington City Hall at [PHONE REDACTED] to find out how to open an account and start service. 3: What you will need: A: You will need to know the Assessors Parcel Number (APN) for the property. This is essential because the address may not have yet been established if construction has not commenced. B: A copy of a valid Will Serve Letter issued by the City of Yerington. This letter will serve as evidence that the parcel in question is approved for connection to the City system. Please attach the letter to this application. C: Payment in full: This application will not be processed without payment in full to the City of Yerington. There are no payment plans available or discounts of any kind for connection fees. (Yerington City Code 8-1-8) D: Contractor information: If the property that will be connecting is commercial or industrial, the connection to the customers plumbing must be completed by a licensed contractor. The property owner cannot act as their own contractor in these situations. E: Proof that connection fees were previously paid: Any claim that “the fees were already paid” must be accompanied by documentation to support the claim. Any fees that cannot be verified as previously paid will be due in full at current rates. There are no exceptions. 4: Lead time: The City requires 30 days for a new connection to be installed after application approval and payment. This time may be longer depending on technical difficulties encountered during the installation or sub-contractor lead times. 5: Choice of Contractor: For single connections the City will typically be the least expensive choice for a new installation. For subdivisions or other special connections, a contractor may be approved by the City to be hired by the customer for installation. The City will inspect and approve all work done by the licensed contractor. 6: Ownership Responsibility: The City owns and is responsible for the water connection from the main to the outlet side of the meter. The customer owns and is responsible for the sewer lateral from the structure to the inlet of the sewer main in the street. 7: Selection of Materials, Service Location: The City will determine the materials and location of any connection to City services. If you have a specific location that you would like your water meter we will attempt to accommodate your request. 8: Cross Connection Control: The City reserves the right to terminate a connection that is deemed to present a cross connection risk to the City system. 9: Grease Trap: The City requires the installation of a grease trap in specific situations. The City will not allow a sewer connection until the grease trap has been inspected and deemed functional. (Yerington City Code 8-1-7) PW XX NEW CONNECT FORM (WATER AND SEWER) REV A - 07/23/2018 ---PAGE BREAK--- Application for Connection to Municipal Water and/or Sewer System Please read and initial your understanding of the following statements: I am the owner of the above listed property (or the owner’s agent) and wish to connect water and/or sewer service to the property. NEW CONNECT ONLY NEW CONNECT ONLY Assessors Parcel Number (APN): Services Requested: Select All That Apply: Address: Applicant Name: Applicant Email: Applicant Phone#: Applicant Signature: Account Number: For Office Use Date: Applicant Address: Applicant City: Applicant State: WATER: 3/4” Water Service 1” Water Service 1 1/2” Water Service 2” Water Service 3” Water Service 4” Water Service 6” Water Service Fire Sprinkler Service Single Family Dwelling Duplex/Triplex Apartment Building: (Number of Units) Commercial Business Industrial Operation Agricultural Operation RV Park (Title 9 Chapter 5 of City Code) Mobile Home Park (Title 9 Chapter 4 of City Code) Grease Trap to be Installed by Applicant Sand/Oil Separator to be Installed by Applicant SEWER: 4” Sewer Service 6” Sewer Service Sewer Service : Applicant ZIP: (Specify in Inches) 1907 PUBLIC WORKS CITY OF YERINGTON NEVADA I understand that any connection fees are non-refundable. I understand that a utility account will be created in my name and I will begin to receive billing statements for the services provided. I understand that the property owner is held accountable for unpaid balances from renters. If service is terminated due to non-payment of utility bills I will be required to pay any past due amounts for service to be restored. I will obtain a Building Permit from the City of Yerington or Lyon County for the owner side connections. I will hire a licensed contractor for all commercial installations. Date Received: More information available online: yerington.net PW XX NEW CONNECT FORM (WATER AND SEWER) REV A - 07/23/2018