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008
Rev.01, 01 Oct. 2017
Philippine Economic Zone Authority
SUPPORT SERVICES DEPARTMENT
OFFICE OF THE BUILDING OFFICIAL
Telephone : (632) 551 3451 loc. 113 / 114 | (632) 891 6382
Website: www.peza.gov.ph | Email: susd@peza.gov.ph
Company :
(PEZA Reg. Name)
Location: :
Application Type : Electrical Permit (EP) Electrical Permit-To-Operate (EPTO)
Project Title :
Contractor :
PCAB License :
REMINDERS :
1. Only those permit applications with complete plans and supporting documents will be processed.
2. All Mechanical equipment to be installed / operated should be listed in this form, use extra sheets if necessary.
3. Equipment / machinery that are not specified in the above sheets but were installed during PEZA inspection shall be imposed with corresponding
penalty, surcharges and/or administrative fine.
Philippine Economic Zone Authority SuSD.1.F.008
SUPPORT SERVICES DEPARTMENT Rev.01, 04 Dec. 2018
OFFICE OF THE BUILDING OFFICIAL
Telephone : (632) 551 3451 loc. 113 / 114 | (632) 891 6382
Website: www.peza.gov.ph | Email: susd@peza.gov.ph
Company :
EMAPTA VERSATILE SERVICES INC.
(PEZA Reg. Name)
Location : 5F, St. Francis Square Mall Julia Vargas Avenue Cor. Bank Drive Ortigas Center, Mandaluyong City
Application Type : √ Electrical Permit (EP) √ Electrical Permit-To-O
Project Title : EMAPTA ST. FRANCIS SQUARE OFFICE FIT-OUT PROJECT
Contractor : PCAB Lic. No. / Category :
R.S. Mesa Construction Corp./DVR Builders and Electrical Contractor, Inc.
Reference Number
SuSD.1.F.008
Rev.01, 04 Dec. 2018
(to be filled out by PEZA repres
REMINDERS
1. Only applications with complete plans and documents will be processed.
2. For electrical equipment/devices to be installed/operated but not listed in this form should also be included in the data sheet, use another sheet with the same format
3. Electrical equipment / devices not declared but found installed during inspection will be subject to 100% Surcharge and Administrative Fine.
ne Economic Zone Authority SuSD.1.F.008
ORT SERVICES DEPARTMENT Rev.01, 04 Dec. 2018
OF THE BUILDING OFFICIAL
(632) 551 3451 loc. 113 / 114 | (632) 891 6382
www.peza.gov.ph | Email: susd@peza.gov.ph
DESCRIPTION / DETAILS
s form should also be included in the data sheet, use another sheet with the same format and information.