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Regulator’s Copy Serial No A 000001 NOTICE OF WORK for ...

o Install, alter, disconnect or remove a backflow prevention device o Other PLUMBING WORK TO COMPLY WITH o AS/NZS3500 o ALTERNATIVE SOLUTION o COMBINED WORK OF SANITARY PLUMBING/DRAINAGE AND SUPPLY DRAINAGE PLAN Give full description of work carried out o Carry out work of sanitary plumbing/drainage o Connection to Sewer

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  Prevention, Backflow, Backflow prevention

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