Pan FOR NO. 86-001-£ APPLICATION NO. REPUBLIC OF THE PHILIPPINES DEPARTMENT OF PUBLIC WORKS AND Hi OFFICE OF THE LOCAL BUILDING OFFICIAL Makati City DISTRICT/CITY/MUNICIPALITY AREA CODE Date of Proposed Start of Installation BOX 1 (TO BE ACCOMPLISHED BY A DULY QUALI APPLICATION FOR ELECTRICAL PERMIT ‘Aecomplsh in print and in duplicate) IFIED ELECTRIOAL PRACTITIONER) GHWAYS DATE APPLICATION FILED Expected Date of Completion CONEW InsTALLATION. (Cannuat sPEcTiON NAME OF OWNER/APPLICANT: TAST NAME, FIRST NAME, TDDLE WANE Ww ] ‘ADDRESS WO. STREET, BARANGHY, ‘CHTVIMUNIGIPALTTY | TELFAKWO LOCATION OF INSTALLATION: NO. STREET, BARANGHY, ‘CHVIMONICTPALITY ‘SCOPE OF WORK: (hanpmion oF EXISTING INSTALLATION Gloriens (sPeciry) (COREPAIR OF EXISTING INSTALLATION. (COREMOVAL OF EXISTING INSTALLATION TYPE OF OGGUPANGY OR USE: (Ci A RESIDENTIAL DWELLING (Gi B RESIDENTIAL, HOTEL APARTMENT C C.EDUCATION & RECREATION 2 o.msrmunionaL © E-BUSINESS & MERCANTILE FimpustaIAL CG STORAGE & HAZARDOUS HASSEMBLY OTHER THAN GROUP + i LLASSEMaLY OCCUPANT LOAD 1000 08 MORE s.accessonr ————————————— OMBER OF OUTETS MBER OF EOUPRENTaTRING OCES uci so, cDoKNG unt TosoLe swrren Fa erEcToRS — convenencenecermcie So, WATER HEATER BELLSBUZZERS OTHERS (See ataened List) |__ sro, acon SF0, WATER PUM PusH BUTTONS BK 2 PROFESSIONAL ELECTRICAL ENGINEER HO SIGNED AND SEALED PLANS & SPEOIFCATIONS) = AME PAC REG. NO way ADDRESS TECK FTA 7 ATE SSTED | PLAGE SUED ‘SIGNATURE DATE SIGNED Tin 0X3 (ELECTRICAL CONTRACTOR - 200 AMPERE. MAIN AND ABOVE NAME: T PCAB LIC. No. (SPECIALTY ELECTRICAL) | vation [aopness ] Tet reax wo. BOK 4 (PERSON IN-CHARGE OF INSTALLATION) ELECTRICAL PLANS & SPECIFIC Ono aeomcu nen [Oneromamac nen oR LTaR, | NAME PAC REG. NO. ~ VALIDITY “ADDRESS: ~ TEL/FAX NO. PTR NO. DATE ISSUED. PLACE ISSUED ‘SIGNATURE DATE SIGNED TH - :ATIONS (5 SETS) DATE RECEIVED www.makati.gov.ph‘wi FORM No. e6-002-£ oF Ma REPUBLIC OF THE PHILIPPINES Ss >) DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS 9 OFFICE OF THE LOCAL BUILDING OFFICIAL / A) “ } Makati City \ S05. ee DISTRICT/CITY/MUNICIPALITY ati AREA CODE PERMIT NO. [APPLICATION NO. DATE ISSUED _ DATE FILED PAID UNDER 0.R. NO. ‘AMOUNT —_ DATE ELECTRICAL PERMIT (Fo be Accomplished by the Ofice Concerned) 0x NAME OF OMNER/APPLICANT LAST WANE FIRST NAME, ‘MIDDLE WANE TW ODRESS Wo. STREET, BARANGNY, ‘ITWMUNIGIPALITY | TELIFAX WO, LDGATION OF INSTALLATION: Wo. ‘STREET, BARANGAY CTTYIMUNIGIALTY boxe aaa ASSESSED FEES [AMOUNT DUE O-R, NUMBER a DATE PAID, REVIEWED & ASSESSED BY Box PERMIT IS HEREBY GRANTED TO INSTALL THE ELECTRICAL WIRING, DEVICES AND EQUIPMENT ENUMERATED IN THE APPLICATION SUBJECT TO THE FOLLOWING CONDITIONS: 1. THAT THE PROPOSED INSTALLATION BE IN ACCORDANCE WITH THE APPROVED PLANS FILED WITH THIS OFFICE AND IN CONFIRMITY WITH THE PROVISIONS OF THE LATEST EDITION OF THE PHILIPPINE ELECTRICAL CODE 2, THAT A DULY LICENSED ELECTRICAL PRACTITIONER BE INCHARGE OF THE INSTALLATION/CONSTRUCTION 3, THAT A CERTIFICATE OF COMPLETION DULY SIGNED BY THE ELECTRICAL PRACTIONER INCHARGE OF THE INSTALLATION BE SUBMITTED NOT LATER THAN SEVEN (7) DAYS AFTER COMPLETION OF THE INSTALLATION, 4. THAT A CERTIFICATE OF FINAL ELECTRICAL INSPECTION BE SECURED PRIOR TO THE ACTUAL OCCUPANCY OF THE BUILDING. | 5. THIS PERMIT SHALL BE POSTED AT THE DOOR OR SITE OF WORK. APPROVED: ~Ghiet, Fleciical Processing Section DATE Electrical Engineer of the Bldg. Office ‘PRO REG. Wo. NoTED ENGR. MARIO. BADILLO BUILDING OFFICIAL Note 1: This permit may be cancelled or revoked pursuant to Sections 305 and 306 of the Building Code. ‘Note 2: Alterations on this form are not allowed. www.makati.gov.ph