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Plumbing Permit Front

This document is a plumbing permit application form for construction in the Republic of the Philippines, specifically for the City/Municipality of Sinait, Ilocos Sur. It requires information about the owner/applicant, the scope of work, fixtures to be installed, and details from design professionals and supervisors. The permit may be canceled or revoked according to the National Building Code regulations.

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19 views1 page

Plumbing Permit Front

This document is a plumbing permit application form for construction in the Republic of the Philippines, specifically for the City/Municipality of Sinait, Ilocos Sur. It requires information about the owner/applicant, the scope of work, fixtures to be installed, and details from design professionals and supervisors. The permit may be canceled or revoked according to the National Building Code regulations.

Uploaded by

cesamairacamille
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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NBC FORM NO.

A -06
Republic of the Philippines
City/Municipality of SINAIT
Province of ILOCOS SUR

OFFICE OF THE BUILDING OFFICIAL

PLUMBING PERMIT
APPLICATION NO. PP NO BUILDING PERMIT NO.

BOX 1 (TO BE ACCOMPLISHED IN PRINTLAST


OWNER/APPLICANT
BY THE OWNER/APPLICANT)
NAME FIRST NAME M.I. TIN

FOR CONSTRUCTION OWNED FORM OF OWNERSHIP USE OR CHARACTER OF OCCUPANCY


RESIDENTIAL
BY AN ENTERPRISE
ADDRESS: NO., STREET, BARANGAY, CITY/MUNICIPALITY ZIP CODE TELEPHONE NO
2733

LOCATION OF CONSTRUCTION: LOT NO. _______________ BLK NO. ________________ TCT NO. ______________________ TAX DEC. NO. _____________________
STREET___________________ BARANGAY : CITY/ MUNICIPALITY OF SINAIT
SCOPE OF WORK
NEW CONSTRUCTION RENOVATION ________________________ RAISING________________________________________
DEMOLITION ____________________________________
ERECTION CONVERSION ________________________
ACCESSORY BUILDING/STRUCTURE ________________
ADDITION REPAIR _____________________________ OTHERS (Specify)_________________________________
ALTERATION MOVING _____________________________

BOX 2 (TO BE ACCOMPLISHED BY THE DESIGN PROFESSIONAL)


FIXTURES TO BE INSTALLED
QTY. NEW EXISTING KIND OF QTY. NEW EXISTING KIND OF
FIXTURES FIXTURES FIXTURES FIXTURES FIXTURES FIXTURES
WATER CLOSET BIDETTE
FLOOR DRAIN LAUNDRY TRAYS
LAVATORY DENTAL CUSPIDOR
KITCHEN SINK DRINKING FOUNTAIN
FAUCET BAR SINK
SHOWER HEAD SODA FOUNTAIN SINK
WATER METER LABORATORY SINK
GREASE TRAP STERILIZER
BATH TUB OTHERS (Specify)
SLOP SINK __________________________
URINAL __________________________
AIR CONDITIONING UNIT __________________________
WATER TANK/RESERVOIR __________________________

TOTAL
TOTAL
WATER DISTRIBUTION SYSTEM SEWAGE SYSTEM SEPTIC TANK STORM DRAINAGE SYSTEM
PREPARED BY: ______________________________________________________________________________________________________________________________

BOX 3 BOX 4
DESIGN PROFESSIONAL, PLANS AND SPECIFICATIONS SUPERVISOR / IN-CHARGE OF PLUMBING WORKS

Date_______________ Date_______________
MASTER PLUMBER MASTER PLUMBER
(Signed and Sealed Over Printed Name) (Signed and Sealed Over Printed Name)
Address Address
PRC. No Validity PRC. No Validity
PTR. No Date Issued PTR. No Date Issued
Issued at TIN Issued at TIN
BOX 5 BOX 6
BUILDING OWNER WITH MY CONSENT: LOT OWNER

(Signature Over Printed Name) (Signature Over Printed Name)


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

NOTE: THIS PERMIT MAY BE CANCELLED OR REVOKED PURSUANT TO SECTIONS 305 AND 306 OF THE “NATIONAL BUILDING CODE”.

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