Western Australian Consolidated Regulations [Heading inserted in Gazette 24 Jun 2005
p. 2829.]
[Forms 1 and 2 deleted in
Gazette 24 Nov 1972 p. 4491.]
Form 3
Western Australia
Department of Marine and Harbours 6
APPLICATION FOR USE OF SLIPWAY
The Harbour Master or Officer in Charge,
.............................................. Slipway
Application is hereby made for the use of slipway for the purpose of slipping
.............................................................................,
the particulars of which are: —
Length overall ....................................
........................................... metres
Beam (extreme) .................................
........................................... metres
Draught —
Forward ...........................
........................................... metres
— Aft .....................................
........................................... metres
Deadweight ........................................
........................................... tonnes
Gross tonnage ....................................
...............................................
tons
Particulars of keel or any peculiarity in construction to be given here
.................................................................................................................................
.................................................................................................................................
Date slip required ....................... 20............... Time
............................. a.m./p.m.
Date launching required .............
20............... Time ............................. a.m./p.m.
State work to
be done when vessel is on slip
.........................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
I hereby agree that in the event of the use of the slip being granted, I
shall accept and be bound by the conditions and scale of charges prescribed in
the Jetties Regulations 1940 7 .
...................................................
Date
...................................................
Master or Owner
THE TREASURY CASHIER,
The above vessel occupied the slip from
............................................ a.m./p.m.
on
........................ to .......................... a.m./p.m. on
..............................................
The fee payable is $
......................................... Details are shown on Docket No.
....................................................................
........................................................
Officer in Charge of Slip
[Form 3 inserted in Gazette
6 Jul 1984 p. 2029.]
[Schedule 4 deleted in Gazette 22 Jun 2007 p. 2940.]