PT.

SOLOBHAKTI TRADING & CONTRACTOR

IJIN PELAKSANAAN PEKERJAAN
Nama PROYEK :
Kode PROYEK :

DESKRIPSI PEKERJAAN/ JOB DESCRIPTION : NO./TGL. :

NO./DATE
BANGUNAN :
BUILDING
BAGIAN :
PART BUILDING
LOKASI / AS :
LOCATION / AS
ISI (MATERI) PEKERJAAN / THE CONTENTS OF THE JOB :

þ Lingkup Pekerjaan :
Scope of Work
þ Lokasi Pekerjaan :
Location
þ Material yg akan dipas :
Material Installation Mutual
þ Data Volume Pekerjaan :
Install Data
þ Waktu Pelaksanaan Pek :
Install TIme
þ Metode kerja/Pemasan :
Install Methode

STATUS : DIPERIKSA OLEH (ENGINEERING) :

CHEKED BY : IN - HOUSE ENGINEERING
DISETUJUI MEKANIKAL PLAMBING ARSITEKTUR
APPROVED MECHANICAL PLAMBING ARCHITECTURE
DISETUJUI DENGAN CATATAN ELEKTRIKAL STRUKTUR INTERIOR
APPROVED WITH NOTE ELECTRICAL STRUCTUR INTERIORS
DIREVISI DAN DIAJUKAN KEMBALI TANGGAL :
REVISED AND RESUBMITED DATE
KOMENTAR (ENGINEER PIHAK OWNER) / COMMENT (INSTRUCTION) OWNER'S ENGINEER :

DIAJUKAN OLEH / PROPOSED BY : DISETUJUI / APPROVED BY :

PT SOLOBHAKTI TRADING & CONTRACTOR

Contractor : Owners Representative/MK :

Nama/Name: Nama/Name:
Jab./Posision: Jab./Posision:
Tgl/Date: Tgl/Date:
 LAMPIRAN-04
NO. DOK : IQ310
REVISI : A(01/10/03)
AMAND : -

Nama PROYEK
PROJECT Name Ijin Pelaksanaan
Proyek :
Pekerjaan
Kode PROYEK
PROJECT Code
: Working Permit
DESKRIPSI PEKERJAAN/ JOB DESCRIPTION :
NO./TGL. :
NO./DATE
BANGUNAN :
BUILDING
BAGIAN :
PART BUILDING
LOKASI / AS :
LOCATION / AS

ISI (MATERI) PEKERJAAN / THE CONTENTS OF THE JOB :

þ Lingkup Pekerjaan :
Scope of Work
þ Lokasi Pekerjaan :
Location
þ Material yg akan dipasa :
Material Installation Mutual
þ Data Volume Pekerjaan :
Install Data
þ Waktu Pelaksanaan Pek.:
Install TIme
þ Metode kerja/Pemasang :
Install Methode