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Republicof the Philippines
Davao city
Provinceo{ Davao Del Sar
‘OFFICE OF THE BUILDING OFFICIAL
UNIFIED APPLICATION FOR BUILDING PERMIT
Csew — D)renewa, [] Anenosrory
APPLICATION NO.
OME OF APPLICATION —
BOX 1 (TO BE ACCOMPLISHED IN PRINT BY THE APPLICANT) cororratun pao vieoe!
Teoreorwom: E]navenwimeron — P]momron —E]wasne
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TSE GR OCOIPNNCTOF BULBINE] STRICTURE
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Dlonour accrewnon. A3eeus.¥ OccuNT Lo 1009 6RHOE
Dlorovr s-nonucrunas Accessor
BOX 2 (FULL-TIME INSPECTOR AND SUPERVISOR OF CONSTRUCTION WORKS (REPRESENTING THE OWNER)
pox BOX 4
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TISIMERTERMETEE 2 SuOUT OAL ACCONPLSIED PRESCREED NOTICE GF GOMSTRUGTEN TO"THE OFREE OFTHE BUEDING CFTIOH. PRO TO AY
PERMIT IssUED BY:
ARCH. KHASHAYAR L. TOGHYANI
Ofteerin.crarge
Date