High Priority Mains Extension Practical Completion Inspection – 2 Day Turnaround

1Your Details > 2Property Details > 3Acknowledgement
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+Tax 10%
Please complete this form if you would like to apply for a High Priority Mains Extension Practical Completion Inspection.

A High Priority fee of $249.01 is required to be paid in order to lodge your application. Refunds will only be given if Coliban Water is unable to provide a response within the time limit.

Coliban Water will attend site and complete a PC final inspection within 2 full business days after receipt of your application.

Refunds will not be provided in circumstances where the applicant provides insufficient, incorrect or incomplete information.

Please check your Letter of Conditions prior to this application to ensure that all outstanding requirements have been met and supplied to Coliban Water.

Fields marked with * are required fields.

This form is not printable.

This form becomes a Tax Invoice on receipt of payment. Coliban Water ABN: 96 549 082 360
Requirements to be met:
You must meet the following requirements for your application to be considered: *
All items on your Letter of Conditions have been met All Certification forms have been forwarded to Coliban Water (F09G, F09K & F09H) Fees have been paid as per letter of Conditions As constructed Plans have been forwarded to Coliban Water CCTV has been forwarded to Coliban Water Sewer CCTV review, & rectification evidence Plumber’s evidence or certificates of compliance Written consents from affected property owners Disinfection results for new water mains
Please enter your Mains Extension Reference Number *
Supporting Documents

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Start Date
If you would like to advise of a preferred start date please enter here: / MM / DD YYYY
Consultant Details
Your Name: * First Last
Business Name:
Contact Number: *

Please Note: Do not enter spaces between digits.
Email Address:

Enter your email to receive a confirmation notification after completing this form.
Your Address:
Street Address Address Line 2 Suburb State / Territory Post Code Country
Owner Details
Name: * First Last
Contact Number: *

Please Note: Do not enter spaces between digits.
Email Address:

Enter owners email to send a confirmation notification after completing this form.
Owner Postal Address: *
Street Address Address Line 2 Suburb State / Territory Post Code Country

High Priority Mains Extension Practical Completion Inspection – 2 Day Turnaround

High Priority Mains Extension Practical Completion Inspection – 2 Day Turnaround

A$0

Total

+Tax 10%

Requirements to be met:

Supporting Documents

Start Date

Consultant Details

Owner Details

A$`0`