SUPPLY PROPOSAL REQUEST FOR A RESIDENTIAL SUBDIVISION 1 FORMAL APPLICATION IS MADE FOR AusNet Services TO CARRY OUT ONE OF THE FOLLOWING: (CHOOSE ONE ONLY AND FILL IN PAYMENT REQUIRED, Make cheques payable to: AusNet Electricity Services Pty Ltd) 1A 1B 1C 1D INTERCONNECTION ONLY. FULL TURNKEY. DEVELOPER DESIGN & CONSTRUCT. AusNet Services PREPARES FULL DESIGN & CONSTRUCTION. AusNet Services PREPARES DESIGN ONLY. DEVELOPER TO CONSTRUCT. AusNet Services PREPARES CONSTRUCTION ONLY. DEVELOPER DESIGN. (CIRCLE SELECTED OPTION BELOW) 1A PROJECT FEE FOR THE NUMBER OF LOTS: (Includes GST) LESS THAN OR EQUAL TO 20 LOTS $1,485 GREATER THAN 20 LOTS AND LESS THAN OR $1,848 GREATER THAN EQUAL TO 50 40 LOTS $2,409 DESIGN FEE FOR THE NUMBER OF LOTS: (includes GST) LESS THAN OR EQUAL TO 20 LOTS $2,376 GREATER THAN 20 LOTS AND LESS THAN OR $3,674 GREATER THAN 50 LOTS $4,477 1B 1C NA NA NA 1D NA NA NA Note: This excludes Estate Overall Design. Quotes available upon request PAYMENT REQUIRED, PLEASE FILL IN. TOTAL: 2 DEVELOPER’S NAME: _____________________________________ ABN No: ________________________ BUSINESS PHONE: ____________ HOME PHONE: _____________ Contact Name: ____________________ POSTAL ADDRESS: _______________________________________________________________________ 3 C/o CONSULTANTS NAME: _________________________________________________________________ CONSULTANTS ADDRESS:__________________________________________________________________ CONSULTANTS PHONE: __________________________FAX: ________________________________ 4 SUBDIVISION NAME: ______________________________________________________________________ SUBDIVISION suburb: ___________________________________ MELWAYS REF : ____________________ NUMBER OF LOTS: ___________ TOTAL SUBDIVISION AREA: _____________ 5 CHECKLIST FOR THE PREPARATION OF ELECTRICAL DRAWINGS: . PLANNING PERMIT ISSUED? YES/NO Plan number and subdivision number: _____________________ . PLAN OF SUBDIVISION SUBMITTED COUNCIL? YES/NO PLAN OF SUBDIVISION ATTACHED? YES/NO Note: 5.1 AusNet Services DESIGN: PLEASE SUPPLY ROAD CONSTRUCTION PLAN FACE SHEET (ELECTRONIC DRAWING IN AUTOCAD FORMAT) , AND OFFSET TABLE WITH APPLICATION. 5.2 DEVELOPER DESIGN: HAS HV OVERALL ELECTRICAL DESIGN FOR ESTATE BEEN COMPLETED? YES/NO AND HAS THIS OVERALL BEEN SUBMITTED TO AusNet Services? YES/NO 6 WILL YOUR CLIENT REQUIRE THE DESIGN TO INCLUDE ANY OF THE FOLLOWING: PLEASE FILL OUT 6 NON-STANDARD PUBLIC LIGHTING. JOINT TELE- COMMUNICATION CABLE TRENCHING. COMMON TRENCHING FOR ALL SERVICES. HAS ROCK BEEN FOUND OR IS ROCK EXPECTED IN AREA 7 EXPECTED COMMENCEMENT DATE FOR CONSTRUCTION OF SUBDIVISION: _______________________ EXPECTED COMPLETION DATE OF SUBDIVISION:______________________________ Name of signatory: (block letters)_________________________Position in Organisation:_____________________ Signature : _______________________________________ 30-2806_B Issue date: 19 April 2017 Date: ____________________________ 1/1
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