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Final Certificate 112006.1518.1

of 15

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       NOTE
                        Inspection Certificate /Aspect Certificate/ QBSA
                                   Licensee Aspect Certificate
                                                              This form is to be used for the purposes of section 10(c) and 239 of the Building Act 1975 and/or
                                                                                                                                                                      16
                                                              sections 32, 35B, 43, 44 and 47 of the Building Regulation 200&

       1. Indicate the type of certificate
                                                                   q      Inspection Certificate for

      The stages of assessable building work
      are listed in section 24 of the Building                              Stage of building work (fa- single detached class la or class 10 bwlaing or structure)

      Regulation 2006 or as conditioned by the                              (indicate the stage)
      building certifier.
                                                                            Aspect of building work
      An aspect of building work is part of a
      state (e.g. waterproofing).                                           (indicate the aspect)



                                                                  q         QBSA Licensee Aspect Certificate
                                                             Scope of the work
                                                             Scope of the work covered by the licence class under the Queensland Building Services Authority
                                                             Regulation 2003for the aspect being certified, e.g. scope of work for a waterproofing licence is "installing
                                                             waterproofing materials or systems for preventing moisture penetration". An aspect being certified may
                                                             include "wet area sealing to showers".



                                                                                                                                    StD                         -------------
                                                                                                                                    ------------------...-   ...----- - ---


     2. Property description                                 Street address tlndi de no., street, suburb, locality & postcode)
    The description must iderdify all land the
    subject of the application.
    The lot & plan details (eq. SP 1 RP) are                                                                                                     Po stcode LL<
    shown on title documents o' a rates notice.
    If the plan is not registered by title, provide          Lot & plan details (Attachlistifnecessary)
    previous !cc and plan details.

                                                             In which local government area is the land situated?



    3. Buiidinglstructure description                                                                                                             Class of building I structure




    4. Description of component/s certified
    C:eariy d escr ibe the extern of work covered by
    this cci tifctte, e , Q all str uctural aspects of the
    steel roc,` t ar




          LOCAL GOVERNMENT USE ONLY


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