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Electrical Permit: Office of The Building Official
Electrical Permit: Office of The Building Official
A - 03
ELECTRICAL PERMIT
BY AN ENTERPRISE
ADDRESS: NO., STREET, BARANGAY, CITY/MUNICIPALITY ZIP CODE TELEPHONE NO
LOCATION OF CONSTRUCTION: LOT NO. _______________ BLK NO. ________________ TCT NO. ______________________ TAX DEC. NO. ____________________
STREET___________________ BARANGAY ____________________________________________________ CITY/ MUNICIPALITY OF ________________________________
CABADBARAN
SCOPE OF WORK
NEW INSTALLATION RECONNECTION OF SERVICE ENTRANCE RELOCATION OF SERVICE ENTRANCE
ANNUAL INSPECTION SEPARATION OF SERVICE ENTRANCE OTHERS (Specify)___________________________________
TEMPORARY UPGRADING OF SERVICE ENTRANCE __________________________________________________
Address
PRC. No Validity
Date____________
PROFESSIONAL ELECTRICAL ENGINEER PTR. No Date Issued
(Signed and Sealed Over Printed Name)
Issued at TIN
BOX 3
SUPERVISOR / IN-CHARGE OF ELECTRICAL WORKS
Date______________
(Signed and Sealed Over Printed Name)
PRC. No Validity
PTR. No Date Issued
Issued at TIN
Address
BOX 4 BOX 5
BUILDING OWNER WITH MY CONSENT: LOT OWNER
Date_____________ Date____________
(Signature Over Printed Name) (Signature Over Printed Name)
Address Address
C.T.C. No. Date Issued Place Issued C.T.C. No. Date Issued Place Issued