CALL ED for meter pickup and return: 303-709-6727

2016

Construction Water and Meter Use Application

Town of Superior administers the use & metering of construction water. Any use of construction water requires the
completion of this permit application.
Contractor: _____________________________________________________________
Address:

______________________________________________________________
______________________________________________________________

Project:

______________________________________________________________

GL#50-22-2300 Meter Deposit ($2000.00) Check #: _____________ (payable to Town of Superior)

Meter # __________________
Date Issued: ____________________

Date Returned: ___________________

Issued By: ______________________

Accepted By: ____________________

Initial Reading: __________________

Final Reading: ___________________

The contractor will be billed monthly while the meter is in use, including monthly base charges & usage charges as
indicated below:
$50.00
one-time non-refundable fee
$33.11/month
base charge
$ 4.18/1000 gals. usage from meter readings

Any damage to the construction meter, hydrant or fittings will be the responsibility of the
contractor. I understand and accept the provisions of this permit.
Contractor Representative: ________________________________________________
(printed name)
________________________________________________
(signature)
________________________________________________
(cell phone #)
50-222-2300 - $2000
50-34-4517 < $ 50>
50-34-4518

Revised 2015

CALL ED for meter pickup and return: 303-709-6727

50-34-4518

Revised 2015