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Application for Water Utility Service

  1. If different than service address
  2. Would you like to receive bill notices via email?
  3. Applicant Status
  4. Property Use
  5. Have you had prior utility service with the Town of Prescott Valley?
  6. Have you provided a letter from another utility company?
  7. If transferring service, would you like to schedule a turn-off date?
  8. The undersigned referred to as Applicant, at the above service address, hereby agrees to pay all costs and fees due under this agreement including, but not limited to, attorney’s fees and court costs. The Applicant further agrees to be governed by the Ordinances/Regulations pertaining to water and/or sewer services as amended from time to time by Town Council. The Applicant also agrees as follows:
    1. A non-refundable service fee of $25 for technical and administrative services in providing the initial service to the customer.
    2. Utility charges will be billed on a monthly basis in accordance with authorized rate/fee schedules.
    3. Same day Turn On service is offered for completed applications received prior to 12:00 pm. For Termination of Service, a minimum of one business day notice is required.
    4. Town staff and contracted service technicians shall have access at all reasonable hours to the premises for the purpose of reading or testing meters. It is the applicant's responsibility to keep the meter unobstructed and accessible at all times.
    5. Payments may be made by cash, personal check, cashier’s check, money order or debit/credit card. Any bank returned item or dishonored check is subject to a $25 per check charge and delinquent account enforcement processes.
    6. Accounts are due and payable 20 days after the billing date. A delinquent processing fee of $5 per service (water and/or sewer) will be assessed on the 28th day after the billing date. A delinquent notice will be mailed on the 40th day after the billing date. Unpaid delinquent accounts are subject to disconnection after the 50th day after the billing date.
    7. Deposits are tendered herewith or exempted. Deposits shall either be applied to an applicant's utility account or refunded after 12 months consecutive, on-time payments. *Commercial and multi-family account deposits may vary.
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