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07/1173 - Referral Agency Response - EPA [As Published] · 142007.1173

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                    Form 15 aonflnued

4 Reference documentation
Clearly IdeniTy any relevant documentation,           Drawing numbers:. SCG Consulting Engineers -18259 - S1 & $2
e9 numbered structural engb eenng plans               Drawing numbers:- Adrian Baker Computer Drafting - 08085 sheets 1 thru 7




5. Building certifier reference number              Building certifier reference number



6. Competent person details                         Name (in full)
b competent person forbuielng work, mearts a
person who Is assessed by the buikik cerfitler       Sean Sharp-Richardson
for the worker competent to practise In an                                                                   Contact person.
aspect of the building and spedficaion design,
                                                    Company name rte ykable)
of thebulidi g work because of the individual's     I SCG Consulting Engineers                                Sean Sharp-Richardson
skill, experlenceaW qualifications In the
aspect The            entpersonnaustalsobe          Phone no business hours               Mobile no.                       Fox no.
registered or licensed under a ImN applying in
the stale b practice the aspect.
                                                     07 5455 5604
                                                    Email address
                                                                                      D                                     07 5455 5696

If noralevantiesrequires the udviduat to be
iceused orregistered to be able ID 91% the          [email protected]
help, the certifier must assess the individual as
having appropriate exp          ,qua5icafionsor     Postal address
skills to be able bgive the help                     PO Box 1661
g the chef executive Issues any guidelines for        Noose Heads Q                                                         Postcode 4567
assessig a competent person, the building
cerbier must use the guidelines +t en
assessing the person



7. Signature of competent person                    I cerfify that the items d    d above, if installed or carried out under the certificate, mcluding any
This cerbicate must be slgnedby the individual      referenced documanta         H comply with the Building Act 1975
assessed by the building cmiferas competent.        Signature                                                        Date
                                                                                                                        161091200a




                                                                                                  Environmental Protection Agency

                                                                                                        L-xx
                                                                                                 Permit No: /'°cc oo ^^i3o 7

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