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Energex Certificate of Acceptance

                                                                                                                            1681e   07.10.2010
                                                                                                                                    Page 1 of 2




                                                 Certificate of Acceptance
                              Electrical Reticulation in Subdivisions Constructed by Subdivider

Name of Subdivision                 135 LAKE WEYBA DVE NOOSAVILLE

Location                            NOOSAVILLE

Subdividers Name                    ANDRES GABARRIN

Supply Agreement No.                S4400232


Part A - Construction Acceptance

I, (please print full name)       Geoffrey Augustus Sheridan                                              employed by ENERGEX

as (position title)                Contract Officer                                        have carried out a final inspection of the

above subdivision and have sighted the consultant’s certification that the electrical installation has been carried out to th e

satisfaction of ENERGEX


Signature                                                                                         Date      05/06/23
                                                                                                               /  /



Part B - Material Reconciliation

I, (please print full name) DENISE BURNHAM                         (position title)   CSS CONTESTABLE

have carried out a reconciliation of material supplied to the above mentioned subdivision and am satisfied that the material

supplied is in accordance with the estimate and all excess cable has been returned into Store


Signature                                                                                         Date       06 / 06 / 23



Part C - Subdivision Supply Agreement Acceptance

I, (please print full name)   DENISE BURNHAM                                                             confirm that all requirements

relating to the supply agreement, including the registration of easements, have been met to the satisfaction of ENERGEX

Signed for and on behalf of ENERGEX by –


Signature                                                                                         Date       06 / 06 / 23




                                                      Office Use Only

Assets in terms of Agreement No.                                 transferred and vested in the name of ENERGEX

Journal No.                                                                              Dated                      /   /

Approved By (please print name)                                                          Signature

Energex Certificate of Acceptance.pdf · 279 KB (small file)

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                                                                                                                                1681   07.10.2010
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                                          Certificate of Acceptance List
                              (To be completed by ENERGEX’s Supervising Officer)


                                       Description                                                         Date                  Initials


1   Commissioning Tests Reports received                                                           /   /


2   All excess cable returned                                                                      /   /


3   All excess materials returned                                                                  /   /


4   Recovered materials returned                                                                   /   /


5   Developer paid for any additional materials not allowed for in the estimates                   /   /


6   Developer paid for any additional switching                                                    /   /


7   All civil works completed, eg E markers, retaining walls                                       /   /


8   Labels fitted                                                                                  /   /


9   All conduits installed correctly                                                               /   /


10 Work quality to ENERGEX standard                                                                /   /


11 “As Constructed” drawings received                                                              /   /


12 Joint locations, etc specified on the drawings                                                  /   /


13 Road reserves, easements, transformer sites, registered with the Titles Office                  /   /


14 Street lights operating correctly                                                               /   /


15 Electricity supply pillars level                                                                /   /


16 Padmount transformer level                                                                      /   /


17 No poles leaning                                                                                /   /


18 Pole details received                                                                           /   /


19 Test results received                                                                           /   /




            ENERGEX Limited ⚫ 26 Reddacliff Street Newstead 4006 ⚫ GPO Box 1461 Brisbane Queensland 4001 ⚫ ABN 40 078 849 055

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