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APPLICATION Department of Public Works & Highways
Pamahalaang Lungsod ng Paraflaque
—_—— _ Office of the City Building Official
[DATE OF APPLICATION City of Parafaque
Metropolitan Manila
PERMIT Wi
BUILDING PERMIT
DATE ISSUED
0X 1 (TO BE ACCOMPLISHED BY THE DESIGNING ARCHITECTICIVIL ENGINEER IN PRINT)
FOR CONSTRUCTION OWNED | —FORMOF OWNERSH® | WN ECONOMIC ACTIITVIONO OF BUSINESS
VAN ENTERPRISE
ADDRESS. TO STREET. BARANGAY. CY UNGPALTY TELEPHONENO,
TTOCATION OF CONSTRUCTION tor = Tm)
‘S6OPE OF WORK (OF PA
3 RO
110 New constru
‘USE OR TYPE ORSBCUPANGY
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'BOXS (TO BE ACCOMPLISHED BY TH
"ACTION TAKEN:
Enaoe seu ncTey nmin ae omen or Absonma Sabie wo eas ww Yom) ARCHITECT ELMOR V. VITA
NoTe:
“TMIS PERMIT MAY BE CANCELLED OR REVOKED PURSUANT TO SECTIONS 305 & 306 OF THE "NATIONAL BUILDING CODE”180X'3A(TO BE ACCOMPLISHED BY THE DESIGNING ARCHITECTICIIL ENGINEER IN PRINT)
ESulewenr
TOTALESTIMATED COST i
‘TOTAL FLOOR AREA:
euLons
PROPOSED DATE
ELECTRICAL. (OF CONSTRUCTION
MECHANICAL P. EXPECTED DATE
(OF COMPLETION:
PLUMBING
MATERIAL OF CONSTRUCTION:
Orr oa (WOODEN, CONCRETE, STEEL, MIXED)
TOTAL
‘construction
Seer" °
‘BOX 4 10 BE ACCOMPLISHED BY THE DIVISION'SECTION CONCERNED)
ASSESSED FEES
Det
ger
MECHANICAL
OTHERS (SPECIFY
CR NUMBER DATE PAD
ARCHT, JULIET D. BALIBALOS
(CHIEF, PROCESSING AND EVALUATION DIVISION
TOTAL
{BOX® (70 BE ACCOMPLISHED BY THE DIVISIONSECTION CONCERNED
PROGRESS FLOW
none " ACTION | PROCESSED
Hier, processINe ovisiowsecTion |_Twe | DATE Dae |e
TREGEWING AND RECORDING
AND USE and ZONING
"GEODETIC (UNE and GRADE)
"ARCHITECTURAL
‘SANITARY
ELECTRICAL
MECHANICAL
WE HEREBY AFFIX OUR HANDS SIGNIFYING OUR CONFORMITY TO THE INFORMATION HEREIN ABOVE SET FORTH,
goxe Boxe.
‘ARCHITEGTICIVIL ENGINEER PROREGNO)) (-siGNATURE.
‘SIGNED AND SEALED PLANS & SPECIFICATIONS
TIERS. DATE TSSUED PLACE TSSUED
PARNO, DATEISSUED | PLACE ISSUED
‘SIGNATURE TH
WITH MY CONSENT:
[80K 9( TO BE ACCOMPLISHED BY LOT OWNER
0x7
CTETISET OTA DECTARATION ——~
ARCATECTIOUIC ENGINEER PROREGHON (TOTIOS TRATION
IN CHARGE OF CONSTRUCTION
PRINT NAME PRINT NAME OF LOT OWNER
TOORESS ADRESS
FIR TO, DRERSUED | PURGE SSUES CTENG. DATETSSUED | PLAGE ISSUED
SRATORE Tr ‘SIGNATURE Tw
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