Professional Documents
Culture Documents
City of Malabon Electronics Permit: Office of The Building Official
City of Malabon Electronics Permit: Office of The Building Official
City of Malabon Electronics Permit: Office of The Building Official
A - 07
ELECTRONICS PERMIT
APPLICATION NO. ELP NO BUILDING PERMIT NO.
LOCATION OF CONSTRUCTION: LOT NO. _______________ BLK NO. ________________ TCT NO. ______________________ TAX DEC. NO. ____________________
STREET___________________ BARANGAY ____________________________________________________ CITY/ MUNICIPALITY OF________________________________
SCOPE OF WORK
NEW INSTALLATION ANNUAL INSPECTION OTHERS (Specify) __________________________________
ANY OTHER ELECTRONICS AND I.T. SYSTEMS, EQUIPMENT, APPARATUS, DEVICE AND/OR COMPONENT (Specify) __________________________________
PREPARED BY ___________________________________________________________________________________________________________
BOX 3 BOX 4
DESIGN PROFESSIONAL, PLANS AND SPECIFICATIONS SUPERVISOR / IN-CHARGE OF ELECTRONICS WORKS
Date____________ Date____________
ELECTRONICS ENGINEER ELECTRONICS ENGINEER
(Signed and Sealed Over Printed Name) (Signed and Sealed Over Printed Name)
Address Address
PRC. No Validity PRC. No Validity
PTR. No Date Issued PTR. No Date Issued
BOX 5 BOX 6
BUILDING OWNER WITH MY CONSENT: LOT OWNER
Address Address
C.T.C. No. Date Issued Place Issued C.T.C. No. Date Issued Place Issued