Drainage and Plumbing Regulations Forms




2358

THE NEW ZEALAND GAZETTE.

FIRST SCHEDULE.

Form No. 1.

Local Authority.

APPLICATION FOR A LICENSE AS A DRAINLAYER OR PLUMBER.

To the local authority,

I, , of Street, in the of , do hereby
apply, under the provisions of the Drainage and Plumbing Regulations,
for a license as a [Mention whether master or journeyman
plumber or drainlayer]. My name, surname, and place of abode are
truly specified at the foot of this application.
Dated this day of , 19 .

Signature :

Residence :

Form No. 2.

Local Authority.

FORM OF LICENSE AS DRAINLAYER OR PLUMBER.

Mr. , of , is hereby appointed a licensed [Mention if
master or journeyman plumber or drainlayer] for the purposes of the
Drainage and Plumbing Regulations.
Dated this day of , 19 .

Engineer.
[or other officer authorized by the local authority].

Form No. 3.

APPLICATION FOR PERMIT TO HAVE DRAINAGE OR PLUMBING

WORK CARRIED OUT.

I, the undersigned [Name in full] hereby make application for permission
to have the work prescribed herein, and set out in the plans attached hereto,
carried out in the premises situated in [Description of place], of which I am
[occupier, owner, or agent.]

Description of work :

I authorize [Name of licensed drainlayer or licensed plumber] to carry out
this work.

Signature :

Residence :

Date :

Form No. 4.

PERMIT TO A LICENSED DRAINLAYER OR LICENSED PLUMBER TO CARRY OUT DRAINAGE OR PLUMBING WORK.

Mr. , a master drainlayer [or master plumber] duly licensed under the
by-laws of the [Local authority], is hereby authorized to carry out the work
described herein, and as set forth in the plans deposited with me, on the
premises owned [or occupied] by Mr. , and situated in Street, Lot
, Subdivision .

Description of work :

Such work is to be carried out in strict accordance with the Drainage and
Plumbing Regulations, , and shall be completed on or before the day of
, 19 .

Fee paid :

Date :

Engineer
[or other officer authorized by the local authority].

Form No. 5.

Local Authority.

CERTIFICATE AFTER INSPECTION.

I HEREBY certify that I have inspected and tested the work carried
out and described on the permit issued to Mr. , a master
drainlayer [or master plumber], on the day of , 19 , and hereby approve
of the work as carried out.

Engineer
[or other officer authorized by the local authority].

Date :

SECOND SCHEDULE.

FEES.

The following fees are payable in respect of the inspection of any drain,
or sanitary appliance, or other sanitary work:

If the value of the proposed work does not exceed £25 0 5 0
If the value of the proposed work exceeds £25, but
does not exceed £50 .. 0 10 0
If the value exceeds £50 but does not exceed £100 .. 1 0 0
If the value exceeds £100 but does not exceed £150.. 1 10 0
If the value exceeds £150 .. 2 0 0

C. A. JEFFERY,
Acting Clerk of the Executive Council.

[No. 67]



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Online Sources for this page:

VUW Te Waharoa PDF NZ Gazette 1923, No 67


NZLII PDF NZ Gazette 1923, No 67





✨ LLM interpretation of page content

🏥 Drainage and Plumbing Regulations under the Health Act, 1920 (continued from previous page)

🏥 Health & Social Welfare
Regulations, Drainage, Plumbing, Health Act, Forms, Licenses, Permits, Inspections, Fees
  • C. A. Jeffery, Acting Clerk of the Executive Council