BS05 - Application for Approval to Install Battery Powered Smoke Alarms Property this application relates to This application is to be used to request approval to install battery powered Smoke Alarms (rather than Smoke Alarms that are connected to the mains power supply) in a dwelling. Unit Number Level Lot Number House Number*This field is required. * Required Field. Street Name*This field is required. * Required Field. Locality/Suburb*This field is required. * Required Field. Postcode*This field is required. * Required Field. Owner Details Name*This field is required. * Required Field. Address*This field is required. * Required Field. Telephone Number*This field is required. * Required Field. Alternate Contact Number Email Address*This field is required. * Required Field.* Please enter a valid email address. Justification Please state the reason(s) why a smoke alarm connected to the mains power supply cannot be installed:*This field is required. * Required Field. Supporting Documentation You will be required to supply the supporting documentation with this application: Any additional evidence. Floor Plan - showing the proposed location(s) of the battery powered smoke alarm(s). A Site Plan. Smoke Alarm specifications - including Brand, Model and Battery Type. Attach copies of the supporting documentation:*This field is required. Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Applicant Details Name*This field is required. * Required Field. Address*This field is required. * Required Field. Telephone Number*This field is required. * Required Field. Alternate Contact Number Email Address*This field is required. * Required Field.* Please enter a valid email address. Payment Information There is a one-off application fee payable with this application. Please refer to the City's website for the Building Department Fees and Charges and a tax receipt will be given upon payment. Please select your preferred payment method: Select an Option By cheque posted to PO Box 101 GERALDTON WA 6531 By debit or credit card over the telephone on (08) 9956 6600 In person by cash/card or cheque at the Geraldton office (63 Cathedral Avenue) or the Mullewa office (cnr Padbury & Thomas Streets) I have agreed to submit this application by electronic means. I can confirm that the information given in this application is true, complete and accurate. By checking this box and typing my name below, I am electronically signing my application.*This field is required. Please tick here Signature * Required Field. The City of Greater Geraldton collects the personal information you provide in relation to the Application for Approval to Install Battery Powered Smoke Alarms form so we can deliver the service, process your request, and meet our legal obligations under the Local Government Act 1995 and any other related legislation. Your information may be shared with government agencies, contractors, or others where authorised by law or with your consent. Where required by law, your personal information will be made publicly available, e.g. public registers. The City manages personal information in accordance with relevant privacy legislation and takes reasonable steps to protect it from unauthorised access or disclosure. You may request access to, or correction of, your personal information by contacting the City at pris@cgg.wa.gov.au. Type the code from the image: The code you entered is not valid. Get Audio CodeType the code from the image Was this page helpful? How can we improve this page? Email Address*This field is required. * Required Field.* Please enter a valid Email Address Type the code from the image: Do not fill this textbox.