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REPUBLIC OF THE PHILIPPINES OFFICE OF THE BUILDING OFFICIAL ELECTRICAL PERMIT SECTION CITY OF MAKATI CATION FOR CERTIFICATE OF FINAL ELECTRICAL INSPECTIO! Date: ‘THE BUILDING OFFICIAL ELECTRICAL PERMIT ENFORCEMENT SECTION Sir, May I / we have the honor to request for inspection on the clectrical_-works located at Owner: - OWNER/REPRESENTATIVE TO THE APPLICANT: i ‘Your request is hereby granted to conduct an electrical inspection by authorize inspector ofthis office. Chief, Electrical Permit Enforcement Section INSPECTION REPORT I. DATE OF INSPECTION Il, GENERALINFORMATION Project: ‘Nature oF works: Electrical contractor: ‘Type of Occupancy: Electrical Permit No. Electrical Designer: Fee Paid Additional Fee: Start of Installation: Date Issued: In-Charge of installation: _ ORNo.: ORNo.: Date of Completion: Date: Date Il, SERVICE ENTRANCE, ‘Transformer. Pad Mounted, Capacity Pole Motinted, Capacity Service conductor/conduit; No. & siz Type: Metering: Primary Metering: Quantity: Multi-Metering: Quantity CF Rated; Quantity Single Metering Heights: Service Working juipment, Ratin, learances; Front: Voltage: 7 Phase: + Pole! Headroom: ELECTRICAL INSTALLATION Wiring Installation: Type: Lighting Fixtures Wiring Devices Communication; Auxillary; Others; Telephone, Intercom, PA Address, Y. DOCUMENTS SUBMITTED Certificate of Completion = Affidavit of Undertaking Others: Approved Electrical Plans As-Built Plans Test Results VI. LOADS: Back Page please for Electrical Loads & Assessment. VIL REMARKS: Inspected By: Noted By: “Electrical Inspector Chief. Electrical Permit Enforcement Section Republic of the Philippines Department of Public Works and Highways OFFICE OF THE BUILDING OFFICIAL City of Makati Metro Manila CERTIFICATE OF COMPLETION ELECTRICAL WORKS This is to certify that the electrical installation/works of the building covered by Building Permit sued on hhas been completed in accordance with the No. approved plans and specifications on file with the Office of the Building Official and the National Building Code (P.D. 1096). That the said installations/works is ready for final inspection. NAME OF OWNER/APPLICANT: ADDRESS OF OWNER: LOCATION OF CONSTRUCTION USE OR TYPE OF OCCUPANCY: DATE OF START OF CONSTRUCTION: DATE OF COMPLETION: TOTAL NUMBER OF OUTLETS AND EQUIPMENTS INSTALLED Lights Switches, Convenience Outlets __ Bell System lec. Range how Waterheater___ kw Air conditioning system hp Telephone Motor | hp Others (Specify) __ In charge of construction: If construction is undertaken by contract: ELECTRICAL ENGR/MASTER ELECTRICIAN, CONTRACTOR PRC Reg. No. Date PRC Reg. No. __ Class _ TIN Res, Cert. Date TIN Res, Cert. Date Address Address, Conforme: OWNER/ APPLICANT

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