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10 - Work Permit Template PDF

This work permit authorizes a tenant to undertake construction or other works. It lists the scope of works, valid dates and times, and names of personnel. The permit requires works to follow mall house rules, and may require security or janitorial support. Multiple authorized signatures are needed to approve the permit.

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CGI Savers Plus Trading
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1K views1 page

10 - Work Permit Template PDF

This work permit authorizes a tenant to undertake construction or other works. It lists the scope of works, valid dates and times, and names of personnel. The permit requires works to follow mall house rules, and may require security or janitorial support. Multiple authorized signatures are needed to approve the permit.

Uploaded by

CGI Savers Plus Trading
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

WORK PERMIT

WORK PERMIT NO:______________


DATE FILED:____________________

This is to authorize the Tenant _______________________________________________, whose


Employees or contractor’s personnel names are listed below to undertake construction and/or
other works:

SCOPE OF WORKS:____________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
(Ex. Aircon/ Carpentry/ Electrical/ Plumbing/ Sanding/ Spray Painting/ Water proofing/ Hot Works/ Delivery & Pull-out)
DURING MALL HOURS: No works with harsh/ Foul odor; No delivery and pull-out bulky/ construction materials; No loud noise;
Follow SM House Rules and Guidelines

PERMIT IS VALID:

FROM TO
DATE :
TIME :
REMARKS:_____________________________________________________________________

SERVICES NEEDED:
Security Posting

Janitorial Deployment

NAME OF PERSONNEL (Attach another sheet for additional names)


1. 11.
2. 12.
3. 13.
4. 14.
5. 15.
6. 16.
7. 17.
8. 18.
9. 19.
10. 20.

**NOTE: ADDITIONAL PERSONNEL, PLEASE SEE ATTACHED FILE.

__________________________________
Name/Designation/Signature
(TENANT/CONTRACTOR AUTHORIZED SIGNATORY)

_______________ _________________ ____________________________


CRS EMB Department Mall Admin Authorized Signatory

Cc: [Link] 2-TENANT 3-CRS 4-EMB


SCMC-OPC-MOPS-CF-0004
Version no: 01
Effectivity Date: July 30, 2015

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