Information
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DA No.
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Site Contact
- Owner
- Builder
- Other
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Site Address
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Conducted on
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Location
TYPE OF INSPECTION
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Inspection type
- Site
- Footings/Piers
- Slab
- Floor Joists
- Framework
- Wet area
- Stormwater Drainage
- FINAL
- DA Audit
- Pool fence
- Driveway
- Complaint
- Fire Safety
- Building Certificate
- Sediment
- Other
KIAMA MUNICIPAL COUNCIL INSPECTION REQUEST
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Date and Time Inspection required
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Application Number
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Phone nominated contact re inspection result
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Home Warranty Ins/ OB Permit Supplied
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Builders Statement / Occupation Certificate Application submitted
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Hazards / Animals on site (e.g. Dogs)
PROPERTY INFORMATION
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House Number
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Lot Number
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Street
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Locality
- Kiama Downs
- Minnamurra
- Bombo
- Kiama
- West Kiama
- Jamberoo
- Knights Hill
- Kiama Heights
- Rose Valley
- Foxground
- Toolijooa
- Gerringong
- Werri Beach
- Elambra
- Gerroa
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Notice by
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Nominated Contact No.
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Received by
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Date Inspection received
INSPECTION RESULT
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INSPECTION RESULT
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Comments / Issues
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Photos of Issues / Comments
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PCA Name & Accredition Number
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Signature
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PO Box 75 Kiama 2533 - phone 02 42320444 6111 -fax 02 42320555 - email council@kiama.nsw.gov.au - website www.kiama.nsw.gov.au