NBC FORM NO. 8 -05 Republic of the Philippines City/Municipality of Province of OFFICE OF THE BUILDING OFFICIAL TEMPORARY SIDEWALK ENCLOSURE AND OCCUPANCY PERMIT APPUCATION NO TSEOPNO SULOING FERMI NO BOX 1 (TQ BE ACCOMPLISHED PRINT BY THE OWNERIAPPLICANT) CWNERMPFLICANT TASTNANE FAST RANE MICOLENANE [TW FR CONSTRUGTION OWNED FORM OF OWNERSHIP | USE OR CHARACTER oF SezUPANEY ay ANENTERPRICE ADRESS) NO, STREET. BARANGAY CTVARNIORALTY ZPCOOE | TELERIENENO LOCATIONOF CONSTRUCTION: LOTNO.____alkno.____terno. TaKDEC No. soREET_ BARANGAY CITY MUNICIPALITY OF SCOPE OF WORK 1D new construction 1 Renovation aaa 1 bemoumon Cy erecncn Di conversion D accessory suconaeTRicTuRe 1D romon Brera OTHERS (est — OF acteranion DW ee =I BOx2 BOxS DESIGN PROFESSIONAL, PLANS AND SPECIF CATIONS FFULLTIME INSPECTOR AND SUPERVSOR OF coveTAUETION WORES a Dat oat. “ARGATERT OR CWI ENOEER ARCHITESTOR CVI ENGNEER (Sire ad Sess Ove Pined Nae) (Sgn ae Sones Ov Pine are) ees Tas “FRC. Tai PRC. ho Tle FR Ro ae RE PTR. No Tam ea seat TA dal Ti BOK 4 BOK s BULONG OWNER WIA HY CONSENT” TOT OWNER (Signature Over Prnted Nara] es seine Oat ‘aes aires TION Dae ee aca CGN Bae ree Foal BOxs ar “APPLICANT (Signature Over Printed Name) ‘ ba. Thad GTGNO. DATE ISSUED PLACE ISSUED l