Republic of the Philippines Republic of the Philippines Republic of the Philippines Republic of the Philippines

Province of Bohol Province of Bohol Province of Bohol Province of Bohol

Municipality of Ubay Municipality of Ubay Municipality of Ubay Municipality of Ubay

Office of the Municipal Engineer Office of the Municipal Engineer Office of the Municipal Engineer Office of the Municipal Engineer

__________________________________ __________________________________ __________________________________ __________________________________

(Name of Applicant) (Name of Applicant) (Name of Applicant) (Name of Applicant)

__________________________________ __________________________________ __________________________________ __________________________________

(Address) (Address) (Address) (Address)

Electrical Permit Fee Php____296.00____ Electrical Permit Fee Php____296.00____ Electrical Permit Fee Php____296.00____ Electrical Permit Fee Php____296.00____
Final Inspection Fee Php___29.60_ __ Final Inspection Fee Php___29.60_ __ Final Inspection Fee Php___29.60_ __ Final Inspection Fee Php___29.60_ __

TOTAL Php____325.60___ TOTAL Php____325.60___ TOTAL Php____325.60___ TOTAL Php____325.60___

Local Gov’t Share (80%) - Php 260.48 Local Gov’t Share (80%) - Php 260.48 Local Gov’t Share (80%) - Php 260.48 Local Gov’t Share (80%) - Php 260.48
National Gov’t Share (05%) - Php 16.28 National Gov’t Share (05%) - Php 16.28 National Gov’t Share (05%) - Php 16.28 National Gov’t Share (05%) - Php 16.28
OBO Share (15%) - Php 48.84 OBO Share (15%) - Php 48.84 OBO Share (15%) - Php 48.84 OBO Share (15%) - Php 48.84

Computed By :__________________ Computed By :__________________ Computed By :__________________ Computed By :__________________

Date :__________________ Date :__________________ Date :__________________ Date :__________________

Republic of the Philippines Republic of the Philippines Republic of the Philippines Republic of the Philippines
Province of Bohol Province of Bohol Province of Bohol Province of Bohol
Municipality of Ubay Municipality of Ubay Municipality of Ubay Municipality of Ubay

Office of the Municipal Engineer Office of the Municipal Engineer Office of the Municipal Engineer Office of the Municipal Engineer

__________________________________ __________________________________ __________________________________ __________________________________

(Name of Applicant) (Name of Applicant) (Name of Applicant) (Name of Applicant)

__________________________________ __________________________________ __________________________________ __________________________________

(Address) (Address) (Address) (Address)

Electrical Permit Fee Php____296.00____ Electrical Permit Fee Php____296.00____ Electrical Permit Fee Php____296.00____ Electrical Permit Fee Php____296.00____
Final Inspection Fee Php___29.60_ __ Final Inspection Fee Php___29.60_ __ Final Inspection Fee Php___29.60_ __ Final Inspection Fee Php___29.60_ __

TOTAL Php____325.60___ TOTAL Php____325.60___ TOTAL Php____325.60___ TOTAL Php____325.60___

Local Gov’t Share (80%) - Php 260.48 Local Gov’t Share (80%) - Php 260.48 Local Gov’t Share (80%) - Php 260.48 Local Gov’t Share (80%) - Php 260.48
National Gov’t Share (05%) - Php 16.28 National Gov’t Share (05%) - Php 16.28 National Gov’t Share (05%) - Php 16.28 National Gov’t Share (05%) - Php 16.28
 Republic of the Philippines Republic of the Philippines Republic of the Philippines Republic of the Philippines
Province of Bohol Province of Bohol Province of Bohol Province of Bohol
Municipality of Ubay Municipality of Ubay Municipality of Ubay Municipality of Ubay

Office of the Municipal Engineer Office of the Municipal Engineer Office of the Municipal Engineer Office of the Municipal Engineer

__________________________________ __________________________________ __________________________________ __________________________________

(Name of Applicant) (Name of Applicant) (Name of Applicant) (Name of Applicant)

__________________________________ __________________________________ __________________________________ __________________________________

(Address) (Address) (Address) (Address)

Electrical Permit Fee Php_____230.00___ Electrical Permit Fee Php_____230.00___ Electrical Permit Fee Php_____230.00___ Electrical Permit Fee Php_____230.00___
Final Inspection Fee Php______23.00___ Final Inspection Fee Php______23.00___ Final Inspection Fee Php______23.00___ Final Inspection Fee Php______23.00___

TOTAL Php____253.00___ TOTAL Php____253.00___ TOTAL Php____253.00___ TOTAL Php____253.00___

Local Gov’t Share (80%) - Php 202.40 Local Gov’t Share (80%) - Php 202.40 Local Gov’t Share (80%) - Php 202.40 Local Gov’t Share (80%) - Php 202.40
National Gov’t Share (05%) - Php 12.65 National Gov’t Share (05%) - Php 12.65 National Gov’t Share (05%) - Php 12.65 National Gov’t Share (05%) - Php 12.65
OBO Share (15%) - Php 37.95 OBO Share (15%) - Php 37.95 OBO Share (15%) - Php 37.95 OBO Share (15%) - Php 37.95

Computed By :__________________ Computed By :__________________ Computed By :__________________ Computed By :__________________

Date :__________________ Date :__________________ Date :__________________ Date :__________________

Republic of the Philippines Republic of the Philippines Republic of the Philippines Republic of the Philippines
Province of Bohol Province of Bohol Province of Bohol Province of Bohol
Municipality of Ubay Municipality of Ubay Municipality of Ubay Municipality of Ubay

Office of the Municipal Engineer Office of the Municipal Engineer Office of the Municipal Engineer Office of the Municipal Engineer

__________________________________ __________________________________ __________________________________ __________________________________

(Name of Applicant) (Name of Applicant) (Name of Applicant) (Name of Applicant)

__________________________________ __________________________________ __________________________________ __________________________________

(Address) (Address) (Address) (Address)

Electrical Permit Fee Php_____230.00___ Electrical Permit Fee Php_____230.00___ Electrical Permit Fee Php_____230.00___ Electrical Permit Fee Php_____230.00___
Final Inspection Fee Php______23.00___ Final Inspection Fee Php______23.00___ Final Inspection Fee Php______23.00___ Final Inspection Fee Php______23.00___

TOTAL Php____253.00___ TOTAL Php____253.00___ TOTAL Php____253.00___ TOTAL Php____253.00___

Local Gov’t Share (80%) - Php 202.40 Local Gov’t Share (80%) - Php 202.40 Local Gov’t Share (80%) - Php 202.40 Local Gov’t Share (80%) - Php 202.40
National Gov’t Share (05%) - Php 12.65 National Gov’t Share (05%) - Php 12.65 National Gov’t Share (05%) - Php 12.65 National Gov’t Share (05%) - Php 12.65