NBC FORM NO.A-06 Republic of the Philippines 7 DEPARTMENT OF PUBLIC WORKS & HIGHWAYS ‘OFFICE OF THE BUILDING OFFICIAL SANITARY PERMIT APPLICATION NO. SP NO. PERMIT NO, 110X: (70 BE ACCOMPLISHED Y SANITARY ENGINEER/MASTER PLUMBER, 1 PRINT) DORESS NO, SEE, BHATEAY, CRY MUTE ATT TELEPFONENT Toca OT TSTMS NO, STE BH ABBY, CHYIIMUMTEBTT ‘SCOPE OF WORK [sew constuction 1 tenovariow 1 asins Ty execrion conversion 1 omourow womon Oy teran DD) recess ne surement aR ——————— O]_ Aterarion move orrens ioecty USE on TYPE OF O&cuPANEY 1 resin 1D sereutvot T] conmerca [Ey Pais nlzas, Nonarens 1 industriat 1 teceationat OF tsttutonat EE otersisreci BOXz (0 BE ACCOMPLISH BY THE DESIGHING PROFESSIONAL) INSTALLATION AND OPERATION warersuery SYSTEM OF osPOSAL DD statiowwew. waste water rrearwe nr pian Tsurrace oaanace Dy orrrwvent ano rune ser DF mmore ran DD sree cana ED crrrmmunicirat waren sestem Ey sanrtany sewer connecrion Dy warencounse I oriets boeci) BF suesuarace ano rier, Lome (pect BOx3 sox4 [TO RS STC ———] Inge a sae ow gre ae (opr nd ened ve pete nae BOxs BOKG SN SSAA FTE0X7 (10 BE ACCONPUSHED 8Y THE RECEIVING & RECORDING SECTION) rcv ar Tare THREE) SEISOF SANTARY DOCUMENTS [sanitary Plans & Specifications Deost estimates Dail of materials others ispecity) OX (10 Be ACCONPUSHED BY THE DIVISION / SECTION CONCERNED) ‘ASSESSED FEES "AMOUNT DUE ASSESSED BY rR. NUMBER DATE PAID 180X910 0¢ ACCOMPUSHED bY THEDIMSION / SECTION CONCERNED) PROGRESS FLOW NOTE ~ at ACTION/REWARKS | PROCESSED BY Te DRE Te DATE ‘Chet Processing Duson/secton Receiving and Recording ‘Geodetic (Line and Grade) ‘Sentary TOxw ACTION TAKEN PERMIT IS HEREBY ISSUED SUBJECT TO THE FOLLOWING ; 1 That the proposed sanitary works shall be in accordance with the sanitary plans filed with this offize and in conformity with the latest Code of Sanitation of the Philippines, the National Building Code and its IRR. 2 That prior to any commencement of sanitary works, a duly accomplished prescribed Notice of Construction" shall be submitted to the Office of the Building Official 3 That upon completion of the sanitary works the licensed supervisor/in-charge shall submit the entry to the logbook duly signed and sealed to the Building Official including as-built plans and other documents and shall also accomplish the Certificate of Completion stating that the sanitary works conform to the provision of the Code on Sanitation, the National Building Code and its IRR 4 That this permit is null and void unless accompanied by the building permit PERMIT ISSUED BY : ARCH, KHASHAYAR L, TOGHYANI Officer-In-Charge THIS PERITT WAY BE CANCELED OF FEVORTD FERSUANT TO STCTTON, 305 B06 OF THE WATIONALBINERNGCODEY