Audit

SHELLHARBOUR CITY COUNCIL INSPECTION REQUEST
Date and Time Inspection required

Application Number

Phone nominated contact re inspection result

Form 7 submitted

HBI / OBP submitted

Builders Statement / Occupation Certificate Application submitted

Hazards / Animals on site (e.g. Dogs)

PROPERTY INFORMATION

House Number

Lot Number

Street

Suburb

Notice by

Nominated Contact No.

Received by

Date Inspection received
TYPE OF INSPECTION
Inspection type
INSPECTION RESULT

INSPECTION RESULT

Comments / Issues

Photos of Issues / Comments

Inspectors Name and Accreditation Number

Signature

PO Box 155, Shellharbour City Centre 2529 -Phone 02 4221 6111 -Fax 02 4221 6016 -Email records@shellharbour.nsw.gov.au. -Web www.shellharbour.nsw.gov.au -DX 26402 Shellharbour City Centre