Application For A Dangerous Goods Site Licence - Government Of Western Australia Page 19

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Page 19 of 19
Application section – return to Resources Safety
13. Examination and licence fees
Examination fees
These are only payable if the application requires a Resources Safety assessment
.
(i.e. not a consultant endorsed application)
Licence fees
These are payable for all N type applications regardless of how they are submitted. Where the licence is being
transferred please check on the expiry date of the licence as it may be due for renewal and licence fees will need to
be paid.
Where an application is to increase quantity stored and results in a move to a higher fee level, please refer to section
on amending storage to calculate the additional amount payable.
NOTE: Please refer to the schedule of fees on the Resources Safety website
( )
for the current fee applicable to this application.
14. Payment details
Please forward your application and remittance by mail to:
Application no. (office use only)
Resources Safety — Department of Mines and Petroleum
DGS
100 Plain Street, EAST PERTH WA 6004
Cheques and money orders should be made payable to: Department of Mines and Petroleum
..............................................................................................................................................................................................
Dangerous Goods Site Licence
Complete this section if paying by credit card
Card number
Expiry date
/
Card type (please tick)
Master Card
Visa
Cardholder’s name
Amount
Signature
Phone number of card holder
Date signed
/
/
DGS REV 2

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