Form 33 - Certificate Of Plumbing Compliance

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Development & Environmental Services
19 Alexander Street
BOTHWELL TAS 7030
Phone: (03) 6259 5503
Fax: (03) 6259 5722
CERTIFICATE OF PLUMBING COMPLIANCE
Section 113
Permit Authority/
To:
33
Administrator
Address
Form
Suburb/postcode
Note: This certificate is also approved by the Administrator of Occupational Licensing as being in the approved form for
certifying plumbing work carried out under a rectification order issued under Section 57 of the Occupational Licensing Act
2005.
Details of plumbing contractor:
Business name:
Nominated Manager
Contractor
name:
Licence No.:
Business address:
Phone No.:
Suburb/postcode:
Mobile No.:
Email address:
Fax No.:
Details of plumber certifying the work:
Plumber – Certifier’s
Certifier
Name:
Licence No.:
Business address:
Phone No.:
Suburb/postcode:
Mobile No.:
Email address:
Fax No.:
(State ‘as above’ if same for contractor details)
Details of completed plumbing work or stage:
Address:
Permit No.:
Suburb/postcode:
Order No.:
Description of the work that is being certified:
Scope or limitation:
Director of Building Control – 1 July 2014
Building Act 2000 - Approved Form No 33

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