Employer: Engineer: Supervision Consultant: Contractor:

Submittal Ref. 1HMRA10-RUHH-08-SPM-FC-MAS-00009 Revision 00 Date 19.11.2023

Sample Submittal / Visual Sample Mockup

Employer Saudi Entertainment Ventures - SEVEN
Engineer EllisDon
Supervision Consultant WME Engineering Consultants
Area / Location EXIT 10 AL HAMRA
Contractor Shapoorji Pallonji

Discipline  Civil  Architecture  Mechanical  Electrical  Other (specify if other: Façade)

DOCUMENT NUMBER: REV. DATE DISCIPLINE

1HMRA10-RUHH-08-SPM-FC-MAS-00009 01 19-11-23 Facade

ITEM NO. DOCUMENT DESCRIPTION

1 SAMPLE BOARD FOR TECHNAL CW PROFILE

We confirm that the submittal enclosure hereby is suitable for the conditions of use and conforms with the contract documents, all Local
Authorities requirements, applicable codes, and standards and statutory requirements. We confirm that no variation in the contract is
implied or claimed by this submittal sheet.
Signature (Contractor’s Representative): Date: 19.11.2023

Supervision Consultant Engineer:

Comments:

Name: Signature: Date/ Time:

Supervision Consultant PD:
Comments:

Name: Signature: Date/ Time:

Submittal Status:
A- Approved B- Approved with Comments C- Revise and Resubmit D- Rejected
Engineer:
Comments:

Name Signature Date/ Time:

Submittal Status:
A- Approved B- Approved with Comments C- Revise and Resubmit D- Rejected

Distribution:
Employer Engineer Supervision Consultant Contractor
IMPORTANT: Permission to proceed does not relieve the Contractor from full compliance with contractual obligations, responsibility, and
Local Authorities requirements.

Form Rev. (00) Page 1 of 1

Form Issue Date: January 2022