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Plans / Permits Request Form
Planning Request
CLIENT INFORMATION
Client Company Name
*
Client Contact
*
Phone
*
Email Address
*
AUTHORITY PERMITS
Traffic Guidance Scheme & Permits
*
Traffic Guidance Scheme & Permits
Traffic Guidance Scheme Only
Duration of Works
*
How long do you expect for this work to be completed. E.g. 4 days.
Proposed Start Date
*
Preferred Hours of Work
*
12:00 AM
1:00 AM
2:00 AM
3:00 AM
4:00 AM
5:00 AM
6:00 AM
7:00 AM
8:00 AM
9:00 AM
10:00 AM
11:00 AM
12:00 PM
1:00 PM
2:00 PM
3:00 PM
4:00 PM
5:00 PM
6:00 PM
7:00 PM
8:00 PM
9:00 PM
10:00 PM
11:00 PM
Start
Hours of Work Finish
12:00 AM
1:00 AM
2:00 AM
3:00 AM
4:00 AM
5:00 AM
6:00 AM
7:00 AM
8:00 AM
9:00 AM
10:00 AM
11:00 AM
12:00 PM
1:00 PM
2:00 PM
3:00 PM
4:00 PM
5:00 PM
6:00 PM
7:00 PM
8:00 PM
9:00 PM
10:00 PM
11:00 PM
Finish
PO Number
*If Applicable
JOB DESCRIPTION
Address
*
Address
Address 1
Address 1
Address 2
Address 2
City
City
State/Territory
State/Territory
Post Code
Post Code
Address
Scope of Works
*
Please provide a detailed description (stage by stage) of the works you will be completing at this location.
What Equipment (Plant and Machinery) Will Be Used On Site?
*
E.g. Excavator, Crane, Vacuum Truck etc.
SUPPORTING DOCUMENTS
Supporting Documents
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Choose File(s)
Maximum file size: 8MB
Please attach any supporting docs you have such as images, work area and any other relevant information.
TERMS & CONDITIONS
This Traffic Guidance Scheme (TGS) will be designed by Nexus Traffic Australia Pty Ltd. The TGS will be prepared in accordance with the information supplied by you ( The Client ). Technical due care will be applied in the collation of the relevant information on which this TGS will be designed. Nexus Traffic Australia is not responsible for any errors or omissions in the base information supplied by you ( The Client ). While all care will be taken in the preparation of the TGS, traffic and site conditions at the time of the Works might vary from those established in the development of the TGS. You ( The Client ) is responsible for undertaking an evaluation of the site and traffic conditions against any application constraints outlined within the TGS as appropriate. Where conditions vary from those documented/detailed, additional input from a Traffic Management Design Professional should be sought.
Acknowledgement
*
I agree to the Terms & Conditions
Signatory Name
Date
Signature
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