REPUBLIC OF THE PHLPPMS PHILIPPINE ECONOMIC ZONE AUTHORITY OFFICE OF THE LOCAL BULONG OFFICAL sePucarion No. pee DATE APPLICATIONFLED Diet Proposed So ton paced Dat Coniaon (Gerald prea dpe) 80% 1(T0.8EAGCONPLSHED BY A DULY QUALIFIED ELEGTRGAL PRACTITIONER) ‘NAME F ONNERIAPPUCANT, ASTNANE, FRET MANE, MODLE NAVE cy ‘DORESS: a, STREET, ‘ARAN, crTrnaNPALTY TELFIKNO, LOCATION OF INSTALLATION 0. ‘STREET, BARANGAY, CTVARINPALTY SOOFE OF WORK. OD apTONGF_— TR EC (-NEWNGTALLATION Cl REPAIR OF. ANWALNSPECTION REMOVAL OF “TYPE OF OGOUPANGY OR USE: (GA RESDENTIALDWELUNG © BUSNESS 4 MERCANTLE 1D LASSENELY OCCUPANT LORD 1200 OR HORE G SLRESOENTAL, HOTEL APARTUENT CF. NDUSTRL 1 s.accEssony CEDUCATION RECREATION CL G.STORAGE AHAzAROOUS 1K OMERS(SPECIN ONSTTUTIONAL _H-ASSEMELY OTHER THAN GROUP! NUMBER OF OUTLETS. [NONBER OF ECUIENENTIVIRING DEVICES: ck ——sra.coomaunt | ___roscie swmcx FAOETEOTORS oateweerecenae ‘560, WATERHEATER BELSBUZZERS others fest '5°0, ARGON seawater pe PUSHUTTONS ‘8017 (PROFESSIONAL ELECTRICAL ENGNEER WHO SIGNED AND SEALED PLANS & SPECIFICATIONS) NAME PRCREG NO. YAO ‘AOORESS TEUFARNO. PIRNO. DATEISSUED PLAGE SUED SIGNATURE DATE SIGNED Tw {50K3 ELECTRICAL CONTRACTOR. 200AMPERE MAIN AND ABOVE) NAME PABLO, (SPECULTY ELECTRICAL) : vor _OORESS TELFAXNO. BOI | PERSON I-GHARGE OF INSTALLATION) 1D REGSTEREO MASTER ELECTRIGAN 1D) PROFESSIONSL ELECTRICAL ENGHEER (D_REGSTEREDELECTRICALENGNEER leper lirtret Nae PROREG.NO, ‘wuomry ‘OORESS TELFAKNO- PTR.NO. DATE SUED PLACE ISSUED SIOUTURE ‘ATE SGNED 1" ‘BOK (ONNERIAUTHORZED REPRESENTATIVE) NAME SGRATURE, iW reno, are ste PLACE ISSUED) 0X (TORE RECENED BY RECEIVINGRECCRDNG SECTION) RECENED BF ELECTRICAL PLANS 2 SPECIPCATIONS (SETS) Sana TI DATE REDENED:RESUBLIC OFTHE PHIUPPNES PHILIPPINE ECONOMIC ZONE AUTHORITY (FICE OF THELOCAL BULDING OFFICAL Pu Wo. Sonn APPLCATIONNO. DATE ISSUED. DATE FLED PAIDUNDER OF. NO, ‘AMOUNT one (Pobescompishecy fe cs Conca) 80K ANE OF OANERIAPPLCANT, AST NAME, FRET MRE, ODLE MANE ™ DRESS me ‘STREET, Ban, CYMNGPALTY TELFRNO TOCATION GF NSTALLATON: NO, ‘STREET, RANA, ‘cTYMUNPALTY 0x2 — ASSESSED FEES "AMOUNT DUE ‘ASSESSED BY OR MINER DATE PAD lreveweD. [ser ROCESS OWES 0K PERMIT I HEREBY GRANTED TO INSTALL THE ELECTRICAL WIRING, DEVICES AND EGUIPMENT ENUNERATED 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 ‘CONFORMITY WTH THE PROVISIONS OF THE LATEST EDITION OF THE PHILIPPINE ELECTRICAL CODE. 2, THAT DULY LIGENSED ELEGTRIOAL PRACTITIONER BE INCHARGE OF THE INSTALLATIONICONSTRUCTION. {3 THATA CERTIFICATE OF COMPLETION DULY SIGNED BY THE ELECTRICAL PRACTITIONER INCHARGE OF THE INSTALLATION [BE SUBMITTEO 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 BUILOING ‘5, THIS PERMIT SHALL BE POSTED AT THE DOOR OR SITE OF WORK. penoveo: SECT ENGNEER GF WE BULONEGHFIEE— [Gara eit) rao nore: an = _ (Seater Pe ‘iy pom a oar wp 5 Sl eral A ae tes tort os se