Form 71b - Standard Of Work Certificate Plumbing Work - Kingborough, Australia
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1STANDARD OF WORK CERTIFICATE – PLUMBING WORK
Section 177
Section 114
Permit Authority
To:
Form
Address
71B
Suburb/postcode
Plumber details:
Category:
Plumber:
Phone No:
Address:
Fax No:
Email address:
Licence No:
Owner details:
Note: Copy must be forwarded to Owner
Owner:
Phone No:
Address:
Fax No:
Details of plumbing work:
Type of work:
Permit work
Notifiable work
(X one applicable.)
Certificate of Likely
Permit or Certificate of
Compliance No:
Likely Compliance No:
Lot No:
Address:
Certificate of
title No:
Description of
work completed:
(main use: dwelling, shop,
Use of building:
food business, factory)
Plumber Standard of Work Statement
I confirm I am the Licensed Plumber responsible for the performance and supervision of the above
referenced project. Having supervised and/or carried out the plumbing work, I confirm that:
(a) all plumbing work is complete; and
(b) all directions given under the Building Act 2016 have been complied with; and
(c) the plumbing work is in compliance with the Plumbing Code of Australia, the approved plans,
specifications and conditions of the Certificate of Likely Compliance (or a Plumbing Permit) granted for
the work:
Name: (print)
Signed
Date
Plumber:
Director of Building Control - date approved: 1 July 2017
Building Act 2016 - Approved Form No 71B
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