What do you call someone who....

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Which maybe is why things tended to work better decades ago when many surveyors, Q.S.s, engineers, architects etc. had worked their way through trades and "night schools" on the way up.

Possibly. I think the loss really is in the craft tradition. In large part, things have moved on and the starting point is higher education than it used to be. I don't really believe that things tended to work better decades ago.
 
You could also consider a building surveyor.
They are very good at adaptations, extensions etc.
 
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