Application for Occupancy Permit
Form 5
Building Act 1993 Building Regulations 2006 - Regulation 1002
Permit No:
1491 _________________
To:
Mark Webster
MG Webster and Associates Pty Ltd
From:
Builder:
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In accordance with section 42 of the Building Act 1993, I hereby apply for an Occupancy Permit for:
Property Address:
__________________________________________
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Project Description:
__________________________________________
City/Shire:
__________________________________________
Building Practitioners and Architects who were engaged in the building work:
Practitioners:
Name
Category/Class
Registration Number
__________________________________________
__________________________________________
___________
___________
__________
__________
__________________________________________
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__________
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___________
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Include practitioners who were involved in the building work and who were not known or not listed at time of completion of application for
building permit. Practitioner details that should be included are contractors whose work was greater than $5,000 in value. They include
Brick layers, Carpenters, Kitchen Cabinet Contractors, Concretors, Pool Builders, Roof Tilers and/or External wall cladding contractors.
Signed: _______________________________
MG Webster and Associates Pty Ltd
ABN 59126731879
http://mgwebster.com.au
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Date: ____ / ____ /_______
250 Sharps &Taylors Road Tallarook VIC 3659
TEL
(04) 1287-9196
FAX
(03) 5793-8107
EMAIL mark@mgwebster.com.au