Republic of the Philippines Pémahalaang Lungsod/Bayan Lalawigan ng, ‘TANGGAPAN NG PINUNONG PANGGUSALL (@ftice of the Builbing Official) "PROCESSING AND EVALUATION DIVISION Electrical Section ELECTRICAL PERMIT APPLICATION NO. EP. NO. BUILDING PERMIT NO. | a LU [ BOK (0 BE ACCOMPLISHED W PRT BY THE OMMERIAPLGRNT) ‘SREREPLCANT TNE ra FOR CONSTRUCTION OWNED a USE OR CHARACTER OF OCCUPANCY SrAN oT ADDRESS: NO, BP ooo | TELEPHONE NO. carota ee TAXDECNO. /MUNCPALITY OF 1 newinstaLarion (G_RECONNECTION OF SERVICE ENTRANCE 1D ANWAL INSPECTION SEPARATION OF SERVICE ENTRANCE REMODELLING OF SERVICE ENTRANCE Ey RELOCATION OF SERVICE ENTRANCE. | ‘TOTAL CONNECTEDLOAD TOTAL GENERATORUPS CAPACITY L By ee Ld SEM K2 (0 BE ACCOMPLISHED W PRINT BY THe UCENSGD PROFESSIONAL ELECTRIGAL ENGNEER) DESIGN PROFESSIONAL, PLANS AND SPECIFICATIONS me z FRO. Tei PROFESSIONAL ELECTRICAL ENGINEER PTRNO. pala a {Signed ar Seated) (ssved at TN TW CASE THE ELECTRICAL MSTALLATION 6 URDERTAREN BY CONTRACT NAME OF ELECTRICAL CONTRACTOR: Address aoe, zie st Tomso No hey a) BOK: ae a i SUPERVISOR OF ELECTRICAL WORKE (D PROFESSIONAL ELECTRICAL ENGINEER D UCENSEDMASTERELECTRICIAN NOT EXCEEDNGEDVERTSESOOKIA PRC No, PTR No. Issuodat BOX 4 CTC, Pace issued