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Permit Electrical

sample permit

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Michael Yap
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0% found this document useful (0 votes)
563 views2 pages

Permit Electrical

sample permit

Uploaded by

Michael Yap
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF or read online on Scribd
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Dee FORM NO 86.018 REPUBLIC OF THE PHILIPPINES DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS OFFICE OF THE LOCAL BUILDING OFFICIAL Ne 4495 Makati City DISTRICTICITYIMUNICIPALITY ‘AREA CODE : 12000 APPLICATION NO. DATE APPLICATION FILLED - Sua LICATION FOR ELECTRICAL/AUXILIARY PERMIT® Date of Proposed Stat of siaiaton”"ABPLICATION FOR ELECTRICAL PERMIT ipecte Dae of Completion (ecompssh inp nin supleat) [20x {70 BE ACCOMPLISHED BY ADULY QUALIFIED ELECTRICAL PRACTTTIONER) _/ ELECTRONICS PRACTITIONER ‘NAME OF OWNERAPPLCANT UST NAME RST NAME IDOLE NAME TH DRESS ca iREET EARANGN ‘CYRUNTALTY TELIA. OGATION GF INSTALLATION. ¥0. ‘ineeT BARANGAY CaVRORCRRLTY ‘S60FE OF WORK (ap008 To EXISTING INSTALLATION Dlomens erecry (Canew mstaLLaTion OREEAR OF ExSTINGINSTALLATION ChsewaL msrecrion CUREMOVAL OF EXSTING INSTALLATION "YE OF OCCUPANCY OR USE: i CO ARESIENTIAL DWELLING De buses & MERCANTILE 5 LAssempey occuPaT Load 190 OR MORE Ch B.RESDENTIAL,HOTEL APARTMENT. (DF NDUSTRIAL D L-acoessony Bi CepucaTION & RECREATION DG STORAGE & nazanoous a Gi o.mstinuriona. HaSSeMBLY OTHER THAN GROUP sige NUMBER OF OUTLETS: NUMBER OF EQUPMENTIMIRING DEVICES: —— Lai _—8P0, cooks UNIT ‘ToosLe siircH FADETECTORS ‘CONVENENCEIRECEPTACLE _SPO.WATER.HERTER BELLSUZZERS Toms (se At! 18) 0, arcon 0, ware PUN PUSH BUTTONS BOX.2PROFESSIONAL ELECTRICAL ENGINEER WHO SIGNED AND SEALED PLANS A SPECIFICATIONS) / PROFESSIONAL ELECTRONICS ENGINEER we PRC REG. NO. NUDITY ADDRESS TELTFIR RO, PARW DATE SST TEST ‘SIGNATRE ar sch ® june Treeus.no. SREGAT LECTRIAT “ 4 OK (PERSON IN CHARGE OF INSTALLATION) SRP | Crecrenenaiccraca monte ee wa FREREEN waar "ADORESS TELIFAXNO. PIR NO, "DATE NSSUED PLACE SUED ‘SIGNATURE ‘DATE SIGNED — - os TH : BOX’ (OWNERIALTHORIZED REPRESENTATIVE) Nae “SIGNATURE W BICNO. = DATE ISSUED PLAGE ISSUED. BOX (70 BE RECEIVED BY RECEIVING RECORDING SECTION) [RECEIVED By: [AUXILIARY PLANS/ [ELECTRICAL PLANS & SPECIFICATIONS (6 SETS) ‘Sioneea ie Poea Nee [NOTE Ths ELECTICAY/AUNIAARY PERM 1S SSUED WTHOUT PREIUDICETO ANY RULES AND REGULATIONS YO BE SUED BY DPW, www.makati.gov.ph (OPWH FORM. 9bon2 REPUBLIC OF THE PHILIPPINES DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS. OFFICE OF THE LOCAL BUILDING OFFICIAL Makati City DISTRICTICITYIMUNICIPALITY ‘AREA CODE : 12000 PERMITNO. APPLICATION NO. DaTEIssuED_— DATE FILED, PAID UNDER OR. NO. AMOUNT DATE, ELECTRICAL PERMIT {Tobe Accomplished bythe Off Concamod) Box NAME OF OMNERAPPLCANT ASTRON, RST AE, THDOLE RARE] Tv 7ODRESS; NO, STREET, BARINGNY, CIYMUNIGPALITY | TELIFARNO. [LOCATION OF INSTALLATION: ‘STREET, “BARANGAY, ‘CITYMONICIPALITY 0x2 ASSESSED FEES TAWOUNT UE OR NOMGER DATEAD REVIENED &ASSESSED BY 20K PERMIT IS HEREBY GRANTED TO INSTALL THE ELECTRICAL WIRING, DEVICES AND EQUIPMENT ENUMERATED IN THE APPLICATION 'SUBJECTTO THE FOLLOWING CONDITIONS: 4, THAT THE PROPOSED INSTALLATION BE IN ACCORDANCE WITH THE APPROVED PLANS FILED WITH THIS OFFICE AND IN ‘CONFIRMITY WITH THE PROVISIONS OF THELATEST EDITION OF THE PHILIPPINE ELECTRICAL CODE. ‘THATADULY LICENSED ELECTRICAL PRACTITIONER BE IN CHARGE OF THE INSTALLATIONICONSTRUCTION. 9, THATAGERTIFICATE OF COMPLETION DULY SIGNED BY THE ELECTRICAL PRACTITIONER INCHARGE OF THE INSTALLATION BE ‘SUBMITTED NOTLATER THAN SEVEN (7)DAYSAFTER COMPLETION OF THE INSTALLATION, 4, THATACERTIFICATE OF FINALELECTRICAL INSPECTIONBE SECURED PRIOR TO THEACTUAL OCCUPANCY OF THE BUILDING. 15, THISPERMITSHALL BE POSTEDATTHEDOORSITE OF WORK. APPROVED: ‘Chief, Electrical Processing Section DATE Elacrical Engineer of the Bldg. Office | PROREG. No, Noten: iC, CITY BUILDING OFFICIAL www.makatigov.

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