Work Permit Blank Form

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Control No.

: ___________________
December 2, 2023
WORK PERMIT Date Filed: ______________________

Tenant: _________________________________________________
RUDINI GAVIOLA Tower: ________
2 Floor: ______ Unit No.: _______
2901
Name of Contractor: _______________________________________Person in charge: __________________________
09857897411
Contact Numbers __________________________________________
Scope of Works:
Aircon leak test
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________

Civil/Painting Electrical Mechanical Plumbing Communications


December 2,2023 1 Day
Date of Work : _________________________ Duration/No. of Days: _______________________
Time of Work 9am -5pm
: _________________________

Name of Workers / Position Tools / Equipment to be used


1. Lito Gelig 1.
_________________________________________ _________________________________________
2. 2. . Tools and
_________________________________________ equipments:1set
_________________________________________
3. 3. pressure washer with
_________________________________________ trapal&pale, ladder
_________________________________________
1set, consumbale freon
4. 4.
R410a, tool box
_________________________________________ _________________________________________
w/assorted tools
5. 5.
_________________________________________ _________________________________________
6. 6.
_________________________________________ _________________________________________
7. 7.
_________________________________________ _________________________________________
(Attach additional list in separate sheet if necessary)

Note: To be accomplished in three copies. Provide a copy for Security Department and Property
Management Office.

Submitted by: Unit Owner/ Checked by: Approved by:


Tenant
Rudini Gaviola
C/o Gerell John Gaviola
____________________________ ____________________________ ____________________________
_ _ _
Name Engineering Department Property Manager

TERMS AND CONDITIONS:


1. This permit is valid only on the dates and time specified above.
2. This permit must be submitted to the PMO for approval at least two (2) days BEFORE actual work schedule.
3. Approval of permits is from 9:00 AM to 6:00 PM, Monday to Friday and 9:00 AM to 1:00 PM on Saturday.
4. Work permit must be presented to the guard on duty for access to any area.
5. All workers must only use the designated service elevator and must access through the Basement Entrance.
6. Loitering in common areas is prohibited.
7. Workers must present their Company ID in exchange for a Building Contractor ID.
8. All workers must abide by all Rules and Regulations of the Condominium Corporation.

Property Managed By:

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