Professional Documents
Culture Documents
Municipality of Molave
OFFICE OF THE MUNICIPAL HEALTH OFFICER
( ) Commercial
( ) Institutional
SCOPE OF WORK:
( ) Drill
( ) Construct
( ) Repair
( ) Extend
MOLAVE, ZAMBO.SUR
TELEPHONE NO. :
MORGAN ST., MOLAVE, ZAMBO.SUR
OFFICER
SITE CLEARANCE
DATE:
13-May-15
TELEPHONE NO. :
_______________
hanging Rock
a High Elevation
( ) Industrial
em or Stand Posts
) ___________
Signature of Applicant
of
to
CONNECT (TAP)
Scope of Work (Construct/drill/others specify)
located at
Recommending Approval:
IRENEO Q. GLEPA
Municipal Mayor
DSWC No:
Date Issued:
OR. :
Dated Issued:
Note: This clearance will automatically expire if the work stated above failed to commence within six (6) months from
date of issuance
NG
EO Q. GLEPA
icipal Mayor