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Certificate of Operation Internal Combustion Engine

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NBC form no.

M - 06 Republic of the Philippines


City/Municipality of _____________________
Province of __________________________________
Certificate of Operation: OFFICE OF THE BUILDING OFFICIAL
Internal Combustion Engine
Certificate of Operation:
Internal Combustion Engine
Name of Owner/Lessee

Located at/along
No.
Fee Paid
A certificate was submitted by _________________________________________ Official Receipt No.
(Name)
a duly licensed professional mechanical engineer hired by the owner Date Paid
who undertook the mechanical inspection and that the installation is in
Date Issued
order.
This Certificate of Operation: Internal Combustion Engine is issued/granted
Verified as to the following
pursuant to pertinent provision of the latest Philippine Mechanical Code, the National
Building Code and its Implementing rules and Regulations.
Type
Manufacturer Name of Owner/Lessee
r.p.m. h.p. Located at/along
date of inspection Engine used for type of engine
expires on Manufactured by h.p. of engine
fee paid
official receipt no. The owner/lessee shall properly maintain the equipment/machineries to ensure its safe

date issued operation.


No change, addition or upgrading/alteration deviating from the original mechanical plans

The above described mechanical installation covered by shall be made without appropriate permit.
Mechanical Permit No.___________________ issued on_____________________ has The aforementioned Internal Combustion Engine may now be operated with a speed not
been found substantially satisfactory complied, therefore the
“Certificate of Operation: Internal Combustion Engine” is hereby to exceed _________ r.p.m. for a period of one (1) year from the date of inspection.
recommended for issuance. The owner/lessee of the building/structure shall notify in writing the office of the
building official for the granting/issuance of a Certificate of Operation: Internal

Mechanical Inspector Chief, Mechanical Section


Combustion Engine for a period of one (1) year from the date of issuance of this certificate
(Signature Over Printed Name) (Signature Over Printed Name) and yearly thereafter.
Date_______________________ Date_______________________
________________ _______________ ________________ _______________ A certified copy hereof shall be posted within the premises of the building and shall not be
PRC Reg. No. vailidity PRC Reg. No. vailidity
removed without authority from the building official.

Chief, Chief, BUILDING OFFICIAL


Inspection and Enforcement Division Processing and Evaluation Division (Signature Over Printed Name)
(Signature Over Printed Name) (Signature Over Printed Name) Date________________________
Date_______________________ Date________________________

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