Title Page
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Section 68 Approval Number & Property Address
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Description of Works
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Plumber’s Name
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Date of inspection
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Inspection Officer
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Has a Notice of Works been provided?
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Internal / External Drainage Inspection
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Rough-in of Water Supply Inspection
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Stackwork Inspection
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Final Plumbing & Drainage Inspection
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Has a Work as Executed diagram been provided?
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Has a Certificate of Compliance been provided?
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Septic Tank/Land Application Area Inspection
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Re-inspection
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Other Plumbing & Drainage Inspection
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General Notes
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Inspection Result
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Are there any matters to be addressed?
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Is re-inspection required?
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Inspection Officer’s Signature
