NSC Plumbing permit

   

Srm 17—Permit for plumbing, drainage and
on-site sewerage work

 

GENERAL NOTES: This form is to be used for the purposes of sections 48(a) and 54(a) of the
Plumbing and Drainage Regulation 2019 (PDR).

 

1. Description of land

The description must identify
all land the subject of the
application. The lot and plan
details (e.g. SP/RP) are
shown on title documents or
a rates notice.

Street address (include number, street, suburb/locality and postcode)
[ 5 Figbird Ct LAKE MACDONALD QLD 4563

 

 

 

Lot and plan
| Lot 3 SP 266744 |
Local government
Shop/tenancy number Storey/level area
] | Noosa ]

 

(if applicable) (if applicable)

 

2. Owner details

Owners Name and Postal Address
BK Bedford & JA Bedford

4 Marblewood Ct

COOROY QLD 4563

 

 

 

 

3. Applicant details

The applicant need not be
the owner of the land.

Applicant Name and Address

 

BK Bedford
4 Marblewood Ct
COOROY QLD 4563

 

 

 

Note: If lodging this application, the applicant is responsible for ensuring the
information provided is correct and that they are authorised to manage the
application on the owner’s behalf.

 

4. Certification

This form certifies that the relevant local government or public-sector entity has made
the following decision in relation to the application for a permit as described above.

Tick the relevant boxes:
Application refused

Permit approved
Permit approved - with conditions
Permit approved - to amend an existing permit

Permit approved — to extend the term of an existing
permit

O OWOO

PL19/0350
22 October 2019

Permit number
Date of issue

Date of expiry 21 October 2021

Issued by Noosa Council

 

5. Attachments

Local government or public
sector entity may attach
additional documentation to
this form.

 

Conditions of permit
Approved plans and specifications

Details of any alternative/performance solution

XOORk

Information notice

Provide further comments (if applicable)
Refer attached Permit with conditions and approved plans.

 

 

 

 

 

 

The Plumbing and Drainage Act 2018 is administered by the
Department of Housing and Public Works

Queensland
Government

 

 

NOOSA COUNCIL

ABN: 97 969 214 121

PO Box 1414
TEWANTIN QLD 4565

P. (07) 5329 6500
F. (07) 5329 6501

[email protected]
www.noosa.qid.gov.au