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    Electrical Permit (FRONT)

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    Mark Anthony Follero
    This document is an application for an electrical permit from the City of Dasmariñas, Province of Cavite. It contains boxes to be filled out providing details of the owner/applicant, location of construction, scope of work, electrical loads and capacities, design professional, supervisor of electrical works, and signatures of the building owner and lot owner consenting to the work. Upon approval, it will be issued an electrical permit number.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Electrical Permit (FRONT)

    Uploaded by

    Mark Anthony Follero
    76 views1 page
    This document is an application for an electrical permit from the City of Dasmariñas, Province of Cavite. It contains boxes to be filled out providing details of the owner/applicant, location of construction, scope of work, electrical loads and capacities, design professional, supervisor of electrical works, and signatures of the building owner and lot owner consenting to the work. Upon approval, it will be issued an electrical permit number.

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    This document is an application for an electrical permit from the City of Dasmariñas, Province of Cavite. It contains boxes to be filled out providing details of the owner/applicant, location of construction, scope of work, electrical loads and capacities, design professional, supervisor of electrical works, and signatures of the building owner and lot owner consenting to the work. Upon approval, it will be issued an electrical permit number.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    76 views1 page

    Electrical Permit (FRONT)

    Uploaded by

    Mark Anthony Follero
    This document is an application for an electrical permit from the City of Dasmariñas, Province of Cavite. It contains boxes to be filled out providing details of the owner/applicant, location of construction, scope of work, electrical loads and capacities, design professional, supervisor of electrical works, and signatures of the building owner and lot owner consenting to the work. Upon approval, it will be issued an electrical permit number.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    NBC FORM NO.

    A - 03

    Republic of the Philippines


    City of Dasmariñas
    Province of Cavite

    OFFICE OF THE BUILDING OFFICIAL

    ELECTRICAL PERMIT
    APPLICATION NO. EP NO BUILDING PERMIT NO.

    BOX 1 (TO BE ACCOMPLISHED IN PRINT BY THE OWNER/APPLICANT)


    OWNER/APPLICANT LAST NAME FIRST NAME M.I. TIN

    FOR CONSTRUCTION OWNED FORM OF OWNERSHIP USE OR CHARACTER OF OCCUPANCY


    BY AN ENTERPRISE

    ADDRESS: NO., STREET, BARANGAY, CITY/MUNICIPALITY ZIP CODE TELEPHONE NO

    LOCATION OF CONSTRUCTION: LOT NO. _______________ BLK NO. ________________ TCT NO. ______________________ TAX DEC. NO.
    ____________________STREET___________________ BARANGAY _____________________________ CITY OF DASMARIÑAS

    SCOPE OF WORK
    NEW INSTALLATION RECONNECTION OF SERVICE TRANCE RELOCATION OF SERVICE ENTRANCE
    ANNUAL INSPECTION SEPARATION OF SERVICE ENTRANCE OTHERS (Specify)___________________________________
    TEMPORARY UPGRADING OF SERVICE ENTRANCE __________________________________________

    SUMMARY OF ELECTRICAL LOADS/CAPACITIES APPLIED FOR

    TOTAL CONNECTED LOAD TOTAL TRANSFORMER CAPACITY TOTAL GENERATOR/UPS CAPACITY

    ___________________ kVA _____________________ kVA ____________________ kVA

    BOX 2 (TO BE ACCOMPLISHED IN PRINT BY THE DESIGN PROFESSIONAL)


    DESIGN PROFESSIONAL, PLANS AND SPECIFICATIONS

    Address
    PRC. No Validity
    Date____________
    PROFESSIONAL ELECTRICAL ENGINEER PTR. No Date Issued
    (Signed and Sealed Over Printed Name)
    Issued at TIN

    BOX 3
    SUPERVISOR / IN-CHARGE OF ELECTRICAL WORKS

    PROFESSIONAL ELECTRICAL ENGINEER REGISTERED ELECTRICAL ENGINEER REGISTERED MASTER ELECTRICIAN

    Date______________
    (Signed and Sealed Over Printed Name)

    PRC. No Validity
    PTR. No Date Issued
    Issued at TIN
    Address

    BOX 4 BOX 5
    BUILDING OWNER WITH MY CONSENT: LOT OWNER

    Date_____________ Date____________
    (Signature Over Printed Name) (Signature Over Printed Name)

    Address Address
    C.T.C. No. Date Issued Place Issued C.T.C. No. Date Issued Place Issued

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