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This application to be duly completed and submitted rer with relevant documents lication for Utility / © Building Inspection & Plan Approval oi Emirates Telecommunications Corporation - Etisalat etisalat Opilot Extension ODemotition 0 Crane O Building Permit Orencing ORelocation © Car Parking O Bldg. Completion Certificate OBasement OPian Approval OBuilding Inspection _O Notice of Intent |itNotice of Intent please mark the type of work Road Works Development Utility Works 1 Bulding Construction Works [Location Details Sector . Plot No. INo. of Floor _. No. of Flais/Offices/Shops/Ete |Sirwcure Details |Owner Name: Contact No [Structure Type Ccommercial Building Oitility Building, O Hospital / Clinic Ovitla Oshed OGs site Oschoot O Mosque / Imam House other... OCommercial Complex Office Complex [Consultant Details [Name : POBox Fax No [Contact Person i. Signature & Company Stamp [Contractor Details | Nam POBox :. [Contact Person :..... _..... Contact No = Signature & Company Stamp _ [Sub-Contractor /Electrical Contractor Details | Name 1P.0.Box :. «Fax Noi. |Contact Person :.. Contact NO fs... Signature & Company Siamp _ | |For Official Use Only Ref: Application Checked by Date Inspection Date : [Building Inspector : Ref : : |Application for Utility Ready Date : [Name :.. * Note : 6 Months Validity Many Query Comact:

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