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Republic of the Philippines Department of the Interior and Local Government Bureau of Fire Protection Regional Office 1 Pangasinan Provincial Office Calasiao Fire Station Tesoro St., Poblacion, Calasiao, Pangasinan 075 529 3847 / 0917 185 7611 calasiaof@gmail.com San Vero alge by October P2022 Wgme of Owngiy Date enor Hist akg e TWame oF Establishment) gay Sun Ine quel Calasiao, Pangasinan : CITY/MUNICIPAL FIRE MARSHAL CHIEF, FIRE SAFETY ENFORCEMENT SECTION REFERENCE: INSPECTION 98 ‘ORDER NO. 2022-CFS- - pateissuen Oe /Y 2022 2022 DATE OF INSPECTION NATURE OF INSPECT ION CONDUCTED: [ ] Check Appropriate Box [| Building Under Construction |] Periodic Inspection of Occupancy {| Application for Occupancy Permit {| Verification inspection of Compliance to NTCV [ ] Application for Business Permit [1 Verification Inspection of Complaint Received [ ] Others (Specify) EDUCATIONAL OCCUPANCY CHECKLIST |, GENERAL INFORMATION Name of Bulding Jéoro PY Business Name Address Baranga\ Calasiao, Pangasinan Nature of Business School Name of OwneriOccupant Cora Tesoro Ci eget Contact No. Name of Represgntative ‘Contact No. No ofSterey. 2 “Heghtal Sieg eo Occupied Area per floor. ‘sqm ‘Total Fir. Area Building Permit No BaweTssus_____ Occupancy PemmitNo______ Date sued Latest FSIC Issued Control No Date Issued FC Fee Certificate of Fire Drill Date Issued. FC Fee. Latest Notice to Correct Violations Control No. Date Issued Name of Fire Insurance Co/Co-Insurer, Posy No Date Issued Latest Mayor's/Bus, Permit Date Issued. Municipal License No. Date Issued Latest Certificate of Eleaiical spection No Date Issued Other information 1LBUILDJNG CONSTRUCTION Boars OE Exterior Walls 2 Corncor Was Room Partitions 2 Main Stair CO™CTE Windows 9455 al Cate Main Door_@T# ef Trusses. Ot Ket Cotumnscarer

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