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