Republic of the Philippines Province of Pangasinan CITY OF ALAMINOS OFFICE OF THE BUILDING OFFICIAL

APPLICATION NO.
DISTRICT/CITY/MUNICIPALITY AREA CODE_________________

PERMIT NO.

FENCING PERMIT
BOX 1: ( TO BE ACCOMPLISHED BY APPLICANT IN PRINT)
LAST NAME NAME OF APPLICANT FOR CONSTRUCTION OWNED BY AN ENTERPRISE ADDRESS NO. NO. STREET STREET ADDITION REPAIR FORM OF OWNERSHIP BARANGAY BARANGAY RENOVATION OTHERS (SPECIFY) CITY/MUNICIPALITY TEL. NO. FIRST NAME M.I. TAX

LOCATION OF AREA TO BE FENCED SCOPE OF WORK FENCE

CITY/MUNICIPALITY NEW

BOX 2: (TO BE ACCOMPLISHED BY THE RECEIVING & RECORDING SECTION)

ACCOMPANYING DOCUMENTS XEROX COPY OF T.C.T XEROX COPY OF LOT/SITE PLAN XEROX COPY OF LATEST LAND TAX RECEIPT XEROX COPY OF CONTRACT OF LEASE (IF NOT OWNED BY APPLICANT) OTHER CLEARANCES (SPECIFY)
BOX 3: (TO BE ACCOMPLISHED BY DESIGNING ARCHITECT/CIVIL ENGINEER/CONTRACTOR IN PRINT

MEASUREMENTS TYPE OF FENCING

INDIGENOUS MATERIALS R.C. (REINFORCED CONCRETE) R.C. & CONC. HOLLOW BLOCKS R.C. & BRICKS

R.C. & INTERLINK/CYCLONE WIRE R.C. & STEEL MATTING R.C. & BARBED WIRE & OTHER WIRES OTHERS (SPECIFY)

BOX 4: (TO BE ACCOMPLISHED BY THE BUILDING OFFICIAL) ACTION TAKEN PERMIT IS HEREBY GRANTED SUBJECT TO THE FOLLOWING CONDITIONS: 1. THAT THE PROPOSED CONSTRUCTION ADDITION/REPAIR/RENOVATION SHALL BE IN CONFORMITY WITH THE NATIONAL BUILDING CODE (P.D. 1096) AND ITS CORRESPONDING IMPLEMENTING RULES AND REGULATIONS 2. THAT THE REQUIRED SETBACK SHALL BE OBSERVED.

ENGR. VICENTE B. BILLON, JR. BUILDING OFFICIAL _______________________ DATE NOTE: THIS PERMIT MAY BE CANCELLED OR REVOKED PURSUANT TO SECTION 305 OF THE NATIONAL BUILDING CODE.