Work Permit Application Contractor Name Contractor Email Contractor Phone Instructed By Select an option Landlord Tenant Subcontractor Landlord / Tenant / Subcontractors Name Landlord / Tenant / Subcontractors Email Landlord / Tenant / Subcontractors Phone Addresses Address Remove Add Another Address Permit Work Times Permit Start Permit Finish Remove Add Another Permit Time Work Type Electrical Plumbing IT related Fit-out Strip out/dilapidations General maintenance Hot works Air Conditioning Other Electrical Work Details Plumbing Work Details IT Work Details Fit-Out Work Details Strip out/dilapidations Details General Maintenance Details Air Conditioning Details Hot Works Details Other Work Details Required Access Frame Room Access Riser Access Roof Access Plant Access Mechanical Access Lift Access Boiler Access Switch Room Access Car Park Access Fire Panel Access Residential Access Showcase Access Other Access Showcase Access Required Select Showcase DESIGNGN1DESIGNGN3DESIGNGN2DESIGNG-C44DESIGNGC4DESIGNGC5DESIGNGC6DESIGNGC7DESIGNGS8DESIGNGS9DESIGN G-S45DESIGNG-S37DESIGN1-N10DESIGN1-N11DESIGN1-C12DESIGN1-C13DESIGN1-S14DESIGN1-N15DESIGN1-C16DESIGN1-C17DESIGN1-S18DESIGN2-N19DESIGN2-N20DESIGN2-C21DESIGN2-C22DESIGN2-S23DESIGN2-N24DESIGN2-C25DESIGN2-C26DESIGN2-S27DESIGN3-N28DESIGN3-N29DESIGN3-C30DESIGN3-C31DESIGN3-S32DESIGN3-N33DESIGN3-C34DESIGN3-C35DESIGN3-S36DCEAST-S10DCEAST-N42DCEAST-S62DCEAST 2S47DCEAST2S48DCEAST257DESIGN1-SL49DESIGN1-NL50DESIGN1-NL51DESIGN1-SL52DESIGN2-NL53DESIGN2-NL54DESIGN2-SL55DESIGN2-SL56DESIGNAVE - 01DESIGNAVE - 02DESIGNAVE - 03DESIGNAVE - 04DESIGNAVE - 05DESIGNAVE - 06DESIGNAVE - 07DESIGNAVE - 08DESIGNAVE - 09DESIGNAVE - 10DESIGNAVE - 11DESIGNAVE - 12DESIGNAVE - 14DESIGNAVE - 13DESIGNAVE - 15DESIGNAVE - 16DESIGNAVE - 17DESIGNAVE - 18 Frame Room Access Details Riser Access Details Roof Access Details Plant Access Details Mechanical Access Details Lift Access Details Boiler Access Details Switch Room Access Details Car Park Access Details Fire Panel Access Details Residential Access Details Showcase Access Details Other Access Details RAMS File* Public Liability Insurance Select an option Yes No Public Liability Insurance Coverage Amount £ Public Liability Insurance Expiry Date and Time Professional Indemnity Insurance Select an option Yes No Professional Indemnity Insurance £GBP Coverage Amount £ Professional Indemnity Insurance Expiry Date and Time Insurance Docs* I have read and understood the Chelsea Harbour Contractor’s Guidelines and Safety Notice.