Lwf electrical - civil form v3

Title Page

Customer signature: - I authorise Lwf Electrical on behalf of NBN Co Limited to carry out work in order to connect my NBN network. -I understand contractors will have to enter my property to undertake civil work. -The contractor has explained what work will be carried out and I have agreed on a location of the pcd
Pit to pep: distance from pit to property entry point in total
Pep to pcd: distance from property entry point to pcd in total
Any info on job: Incorrect depth Not deep enough at pit ect.
New Lic- how many meters of trenching total------- -------it can only be this one or one below not both
Lic extension- how many meters total of pipe installed
Blockage or Y splitter
Grundomat 1
Grundomat 2
Grundomat 3
Grundomat 4
Grundomat 5
Grundomat 6
Grundomat 7
Number of coredrills
50mm corebore 1=1mm
Concrete breakout and reinstatement distance eg, 200x400mm
Bitumen breakout and reinstatement
Pavers breakout and reinstatement
Any other claims, write in full detail or any extra info required:
Trenching in rock: photo with jackhammer and Rocks included
Asbestos breakout
Asbestos pit removal
P5 installed
P2 installed
Any other claims write full details:
All photos: Include start card:
Mud map, would be better drawn on whiteboard or paper:
Customers signature: -This states the customer is happy with installation of pipe and has been installed to the agreed location -reinstatement of surface is to customers satisfaction

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