Title Page
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Address
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Plumbing application number
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Conducted on
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Prepared by
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Certifier
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Licence number
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Licence number
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Tradesperson on site
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Name
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Phone number
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Email address
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Inspection type
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Comments
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Bedding material
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Depth cover
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Separation distances from other services
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Correct pipe diameters
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Compliant fixing spacing
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Water / air tested and verified
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Permit authority name