In connection with the application for an HMO licence in respect of (address): Date of application: B. Facilities table continuation sheet - complete for each room Floor Room for Room or Shared No. Shower Wash Toilet Mechanical Fixed No. No. and Microwave No. No. compartment**** No. compartment**** No. No. No. Metres Refuse No. Fire Fire (eg E) bathrooms fridges fridges grill of of of cupboards*** freezers**** sinks dishwashers electric bathroom) door blanket (eg size* heating hand use persons hob conventional use of disposal or first) with worktop with with with bath (m2) or rings sockets basin extract toilets) Exclusive convection drainers ice no sleeping** (not ice fan needed ovens use oven (S
In connection with the application for an HMO licence in respect of (address): B. Facilities table continuation sheet - complete for each room Floor (eg first) Room use (eg bathroom) Room size* (m2) (not needed for bathrooms toilets) Shared use or Exclusive use (S or E) No. of persons sleeping** Shower or bath Wash hand basin Toilet Mechanical extract fan Fixed heating No. of hob rings No. of conventional ovens Microwave with convection oven and grill No. cupboards*** No. freezers**** No. fridges with ice compartment**** No. fridges with no ice compartment**** No. sinks with drainers No. dishwashers Metres of worktop Refuse disposal No. electric sockets Fire door Fire blanket Date of application:
additional_facilities_table.docx