application for a certificate of occupancy - Kangaroo Island Council
application for a certificate of occupancy - Kangaroo Island Council
application for a certificate of occupancy - Kangaroo Island Council
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Schedule <strong>of</strong> Essential Safety Provisions<br />
Development Act 1993<br />
Development Regulations 1993 - Regulation 76(3)<br />
Form 2<br />
<strong>Kangaroo</strong> <strong>Island</strong> <strong>Council</strong><br />
This <strong>for</strong>m must be completed and returned prior to <strong>occupancy</strong><br />
to enable the issue <strong>of</strong> a <strong>certificate</strong> <strong>of</strong> <strong>occupancy</strong><br />
CERTIFICATE OF COMPLIANCE WITH ESSENTIAL SAFETY PROVISIONS<br />
Development No:<br />
Owners Name:<br />
Classification:<br />
Maximum N o <strong>of</strong>f Occupants:<br />
Subject Property:<br />
House No: Lot No: Street: Town / Suburb:<br />
Hundred: Section Full / Part: Plan: Volume / Folio:<br />
This is to certify that the following safety provisions <strong>for</strong> the above building have been installed and tested<br />
in accordance with the following standards or requirements:<br />
Items to be inspected or tested<br />
as nominated by the relevant<br />
authority<br />
Installation standards, codes<br />
and conditions <strong>of</strong> approval<br />
Nature <strong>of</strong> inspection and test<br />
frequency<br />
Signed:<br />
Date:<br />
(Owner or Manager <strong>of</strong> the Building)
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