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PELAKSANA/Executor PEMBERI TUGAS/OWNER

CV. BUKIT BINTANG PT. MEIJI INDONESIA


General Contractor PHARMACEUTICAL INDRUSTRIES

PERMOHONAN PERSETUJUAN
APPROVAL REQUEST
Klien/Client : PT. MEIJI INDONESIA
Proyek/Project : Build Engineering Expansions (Command Center Room)
Nomor Pesanan/Order No : -
Tanggal/Date :
LINGKUP PEKERJAAN :
SCOPE OF WORK MEKANIKAL ELEKTRIKAL STRUKTUR ARSITEKTUR
o MECHANICAL o ELECTRICAL o STRUCTURE  ARCHITECTURE

DIAJUKAN OLEH :
CV. BUKIT BINTANG
PROPOSED BY

Jenis persetujuan yang diajukan:


type of approval applied
Brochure(s) Proposal(s) Shop Drawing(s)

Method(s) Sample(s) _____________________

Deskripsi Persetujuan :
Approval description
Nama Material Spesifikasi Material Merek Informasi Tambahan
Material Name Material Specification Manufacture Additional Information
Bata Ringan 100x200x600 Citicon

MENGETAHUI/REVIEWED BY Tanda Tangan/Signature Catatan:


Nama/ Name : MASHUDI Note
Jabatan/ Position : PROJECT MANAGER
Tgl./ Date :

DIPERIKSA OLEH (ENGINEERING)


CHEKED BY: IN-HOUSE ENGENEERING

STATUS

DISETUJUI DIREVISI DAN DIAJUKAN KEMBALI


o APPROVED o REVISED AND RESUBMITTED

DISETUJUI DENGAN CATATAN


o APPROVED WITH NOTE o
Tanda Tangan/Signature Catatan: :
Nama/ Name : KEN MARGARETHA P. Note
Jabatan/ Position : ENGINEERING
Tgl./ Date :
LAMPIRAN
Attachment

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