REPUBLIC OF THE PHILIPPINES

PROVINCE OF BATANGAS
MUNICIPALITY OF SAN LUIS
OFFICE OF THE BUILDING OFFICIAL
AREA CODE_____________

CERTIFICATE OF COMPLETION
Sanitary/Plumbing Works

This is to certify that the Sanitary/Plumbing Works of the Building covered by the
building permit no. issued on has been completed in
accordance with the approved plans and specifications on file with the office or Building
Official and the National Building Code (P.D. 1096). That the said Sanitary/Plumbing
Works were undertaken by direct supervision and are in order for final inspection.

NAME OF OWNER:
(Last Name) (First Name) (Middle)

ADDRESS OF OWNER:

LOCATION OF CONSTRUCTION:

USE OR TYPE OF OCCUPANCY:

DATE OF START OF CONSTRUCTION: Expected: Actual:

TOTAL NO. OF SANITARY/PLUMBING ACCESSORIES/UNIT INSTALLED.

Water Closet Floor Drain Sink Lav

Faucet Shower head Urinal Septic tank

Septic Vault CU. M. LAV. SINK

IN-CHARGE OF CONSTRUCTION: IF THE CONSTRUCTION IS

UNDERTAKEN BY
CONTRACT

Sanitary Engineer Contractor

PRC. NO.
PTR. NO.
ISS. ON: ____________________
ISS. AT:
TIN:

CONFORME:

NOTE: Please complete the

Owner/Applicant information.