Work Details Location of works Proposed Works Estimated value of works Applicant/Agent Details Applicant/Agent Name Email Address Postal Address Phone Number Contractor's Details Is the contractor the applicant? Yes No Contractor's Name Contractor's Postal Address Contractor's Phone Number Contractor's Email Address Any damage to public infrastructure assets or pollution from the concrete works which is not repaired or cleaned up at the completion of works will be resolved at the owner's expense. Concrete works must not commence prior to the issue of this permit, as specified in Local Law 3. Failure to comply with Local Law 3 may incur a penalty. The permit fee is GST free. Leave this field blank