Republic of the Philippines ‘Municipality of BAUTISTA a, Province of Pangasinan (OFFICE OF THE BUILDING OFFICIAL, SANITARY/PLUMBING PERMIT — APPLICATION No. PERNA NO, [ T 1 it | DATE OF APBUCATION ee aaa BOX 1(T0 BE ACCOMPLISHED BY SANITARY ENGINEER MASTER, [RANE OF OWNERAPPLCANT: LAST RANE, FRET NAME TOON TR TOR 75 REET ERT ay CONTACT NO JEM ADDRES TATION OF RSTALLATION SEOREOF WORE TTADDTION OF OTHERS EC) 1] NEWINSTALATION Ti se nmoeTn Ee are l oF UU RewovaL of means TEER NPE OF OCELPINGT 1 esvenmia AGRICULTURAL 1 commenaat, (PARKS, PLAZAS, MONUMENTS | cy moustmat [ ovaens (sec) [1 nsruTiona, TRTORESTOBENSTALIDD ay NEW BMSTNG —MaNDOF ay New asTNG ND OF PxTURES — FXTURES—_FXTURES FUTURES PAXTURES—XTURES EL [1 () watercioser Sey T] (1 Bere ae [1 C1 Fioon ora Seer ss: (CC) Wunbar tears Sere On 1] tavarones Se [)E} pewtatcuseioon eae Ed t (1) aroren sve 2s ry [1 Ey etecrmcaz eater Sed Cy 0) raver Gea U1 Ci watersoner St [111 SHoWeRHEAD See Ti (prs rounrar Be oe TiC) watermerer Se esc) Ty ED aansi 1 C11 GRease Tear Sa [1 £1 sooarounra snk eee {1 C1 sarutuss me (C1 tasonaront sinc Re EE TI] storsin See (1 (1 sremuzer es 0) TC nna, ea eat 11 £1) swans P00: cee [1 CE ARCoNOMoNNGUNT = LD 11 C) ortersisrecirn a eC (C1 C1 WATERTANGmESERVOR = 1 u ora ora, 11 warer istaauTion sre (1 saan sewer sven 11 stormpnanace syste WATERSUPP HSTEMSUPAT Ciswanow wen [ LWASTE WATER TREATMENT PUNT [ JOEgPWeUL& PUMP ser [seme vauLT/iMnorF [ suarace onanace [ Jerr/iumcoa. WATER SYSTEM [SUBSURFACE SaND FLTER [LSSTREET CANAL [ ToTmens [SANITARY SEWER CONNECTION (water course [NUMBER OF STORENS OFBULOING "TOTAL AREAOF BULDING/SUBONISON pipes ee Sst Sa ei a SOPOSED ATE TorALCosT START OF INSTALATION (OF INSTALLATION P | { commerion ova rome CCOMPUD BY THEBUNONG OFCA perme . Sinra cateaatt or Connon Ou Sear tray enceh paste ENGR_ALBINO M. MEJIA IR at mot wera me Nr an 8 Seer ne trcunoccommn Weve ieik ba 90K (10 BE ACCOMPUED By RECEIVING & RECORDING SECTON) BUILDING DOCUMENTS TT SANITARY/PLUMIBING PLANS & SPECIFICATIONS {1 COST ESTIMATES [a1 OF MATERIALS [Lorne (seeciFN) ‘80K (70.8 ACCOMPLISHED BY DNISION/SECTION CONCERN) ASSESSED FEES AMOUNT [ASSESSED BY O.RNO. DATEPAID, NOES (TO BE ACCOMPLISHED 8 DVBION/SECTON CONCERN) PROGREES FLOW, nore: N our ACTION/REMARKS PROCESSED BY Je, PROCESSING DMIS]ON/SECTION eae Juagpsneel| Reus DATE TIME DATE /RECEIUING AND RECORDING GeoDeTC UNE GRADE) ‘Wi NEREBY AFIKOUR HANDS SIGMIPTING OUR-CONFORIMITY TOTHE INFORMATION HEREIN ABOVESET FORTH a6 noxs SanTARTENGRNEERTHOSTERTLUMGER | PREREG. NO. a SIGNED SEALED PLANS SPECS. aioe PRINT NAME ORES "APPLICANT PTRNO. BATESON RES CERT. NO. DATE KSUED PLACE SSUED onaTORE 7 0x7 aaa ERNE TR REGO. INOUE OF CONSTRUCTIONISTALATION NT NAME ORES FIRNO DATE RSUED PAE RSURD