KEY PERSONNEL
Mailing Address:
Name of Designer:
Business Name:
Phone Number:
E-mail Address:
Registration Number:
Mailing Address:
Name of Engineer:
Business Name:
Phone Number:
E-mail Address:
Registration Number:
Mailing Address:
Name of Builder:
Business Name:
Phone Number:
E-mail Address:
Registration Number:
Mailing Address:
Name of Registered Plumber:
Business Name:
Phone Number:
Email Address:
Registration Number:
Mailing Address:
Name of Registered Drainlayer:
Business Name:
Phone Number:
Email Address:
Registration Number:
Mailing Address:
Name of Registered Electrician:
Business Name:
Phone Number:
Email Address:
Registration Number:
Mailing Address:
Name of Registered Gasfitter:
Business Name:
Phone Number:
Email Address:
Registration Number:
Mailing Address:
Name of Fireplace Installer:
Business Name:
Phone Number:
Email Address:
Registration Number:
Add any additional people on another sheet.
Attachments – the following documents are attached to this application:
Certificates from the personnel who carried out the work
Certificates that relate to the energy work
Evidence that specified systems are capable of performing to the performance standards set out in the building consent
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Doc: Quality Manual HDC
Ref: Form 6
Issue: 3
Date: 27
November 2014
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