Contact person Telephone Lessee responsible for building work Indicate if a lessee of the building, of which parts are leased by different persons, is responsible for the alterations to a part of the building leased by that lessee. † †Tick if applicable Ownership Details (only if agent of owner listed above) Owner Postal address Postcode Contact person Telephone Property details Number Street/road City/suburb/town Postcode Lot/s LP/PS Volume Folio Crown allotment Section Parish County Municipal district Allotment area (for new dwellings only) m2 Land owned by the Crown or a public authority † tick if applicable † Builder (if known) Name Telephone Postal address Postcode Building practitioners1 and/or architect (a) to be engaged in the building work2 Name Category/Class Registration No. Name Category/Class Registration No. (If a registered domestic builder carrying out domestic building work attach details of the required insurance) (b) who were engaged to prepare documents forming part of the application for this permit3 Name Category/Class Registration No.
Contact person Telephone Lessee responsible for building work Indicate if a lessee of the building, of which parts are leased by different persons, is responsible for the alterations to a part of the building leased by that lessee. † †Tick if applicable Ownership Details (only if agent of owner listed above) Owner Postal address Postcode Contact person Telephone Property details Number Street/road City/suburb/town Postcode Lot/s LP/PS Volume Folio Crown allotment Section Parish County Municipal district Allotment area (for new dwellings only) m2 Land owned by the Crown or a public authority † † tick if applicable Builder (if known) Name Telephone Postal address Postcode Building practitioners1 and/or architect (a) to be engaged in the building work2 Name Category/Class Registration No. Name Category/Class Registration No. (If a registered domestic builder carrying out domestic building work attach details of the required insurance) (b) who were engaged to prepare documents forming part of the application for this permit3 Name Category/Class Registration No.
06-68sr018.docx