Sanitary/Plumbing Permit: Department of Public Works and Highways
Sanitary/Plumbing Permit: Department of Public Works and Highways
Sanitary/Plumbing Permit: Department of Public Works and Highways
CITY OF BACOOR
PROVINCE OF CAVITE
AREA CODE 04119
APPLICATION NO. PERMIT NO.
FIXTURES TO BE INSTALLED
NEW EXISTING KIND OF NEW EXISTING KIND OF
QTY. FIXTURES FIXTURES FIXTURES QTY. FIXTURES FIXTURES FIXTURES
______ WATER CLOSET _______ BIDETTE
______ FLOOR DRAIN _______ LAUNDRY TRAYS
______ LAVATORIES _______ DENTAL CUSPIDOR
______ KITCHEN SINK _______ GAS HEATER
______ FAUCET _______ ELECTRIC HEATER
______ SHOWER HEAD _______ WATER BOILER
______ WATER METER _______ DRINKING FOUNTAIN
______ GREASE TRAP _______ BAR SINK
______ BATH TUBS _______ SODA FOUNTAIN SINK
______ SLOP SINK _______ LABORATORY SINK
______ URINAL _______ STERILIZER
______ AIR CONDITIONING UNIT _______ SWIMMING POOL
______ WATER TANK/RESERVOR _______ OTHERS SPECIFY
________ TOTAL __________ TOTAL _______________________________
NOTE:
THIS PERMIT MAY BE CANCELLED OR REVOKED PURSUANT TO SECTIONS 305 & 306 OF THE “NATIONAL BUILDING CODE”
BOX3 (TO BE ACCOMPLISHED BY THE RECEIVING & RECORDING SECTION)
BUILDING DOCUMENTS
ASSESSED FEES
PROGRESS LOW
IN OUT ACTION/ PROCEED
NOTED: TIME DATE TIME DATE REMARKS BY
CHIEF PROCESSING DIVISION/SECTION
SANITARY
WE HEREBY AFFIXED OUR HANDS SIGNIFYING OUR CONFORMITY TO THE INFORMATION HEREIN ABOVE SET FORTH
BOX 6 BOX 8
SANITARY ENGINEER / MASTER PLUMBER PRC. REG. NO.
SIGNED AND SEALED PLANS & SPECIFICATION
SIGNATURE TIN
BOX 7
SANITARY ENGINEER / MASTER PLUMBER PRC. REG. NO.
IN-CHARGE OF CONSTRUCTION
NOTED BY:
PRINTED NAME
ADDRESS
HON. LANI MERCADO-REVILLA
CITY MAYOR
PTR NO. DATE ISSUED PLACE ISSUED
SIGNATURE TIN