Title Page
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Project Address:
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Customer Name/Address:
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Inspection Date:
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Prepared by
Standard New Connection (Thrust)
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Standard New Connection (Thrust) Job?
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Number of Service(s)?
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Installed how?
- Open Cut
- Thrust
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Length of Service(s) (m):
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Meter Position Photo:
Standard New Connection (PIT/Open Trench)
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Standard New Connection (PIT/Open Trench) Job?
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Number of Service(s)?
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Length of Service(s) (m):
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Meter Position Photo:
Relocation
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Relocation?
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Relocation Length (m)?
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Relight required?
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Existing Meter Location:
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New Meter Location:
Traffic Management
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TM Required:
- All Works Inside Boundary
- Footpath Diversion
- Footpath Closure
- Shoulder Closure
- Contra Flow
- Stop Go
Additional Information
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Reinstatement Required?
- None
- Temporary Cold Mix
- Asphalt Footpath
- Asphalt Road
- Concrete Footpath
- Concrete Vehicle Crossing/ROW
- Concrete Road
- Kerb & Channel
- Cobblestone
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Enter Size Required (m2)
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Digger Required?
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Boundary Kit/Backing Board?
Notes:
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Enter Notes:
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GIS Screenshot:
