Professional Documents
Culture Documents
OVERHEAD LINES
Renewal
Violation Notice No. & Date If
Applicable
Valid Until
Contract No
KAHRAMAA R.O APPROVAL No
Client
Consultant
Name in Charge
Signature
Date
Stamp
Name in Charge
Signature
Date
Stamp
Client`s Undertaking: We undertake that on work completion, site shall be reinstated to the conditions stated in SIS and KM
Regulations for Clearances and Works in the vicinity of MV and LV network including Ministerial circular No. 6 of 1991.
Contractor
Name in Charge
Signature
Date
Contractor :...
Person Supervising work
Name
:..
Stamp
Signature :..
Telephone :...
Trial Hole
Excavation
Construction of Permanent Road
Place of Work
Area Zone No. St. No.. Sheet No..
Section B To Be filled by OHL/Cable Engineer
Circuits Affected
Restrictions/Conditions
Work Approved
Valid up to
Name of Engineer
Signature
Date
Important Note:- Pages No. 2 to 5 (Terms and Conditions) are a part of this document. If work is not completed within the approval period,
contractor has to apply for renewal. Applicant also to submit check list from page no 4 of this doc.
ED-EDM-P1 /F1
Issue: 0
16-04-2015
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Issue: 0
16-04-2015
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Contractor
Name:
Position:
Date:
Signature:
KM Engineer (Cable/OHL)
Remarks:.
________________________________
Name
ED-EDM-P1 /F1
Issue: 0
__________________________________
Signature
16-04-2015
Page 3 of 4
Additional requirements:
ED-EDM-P1 /F1
Issue: 0
16-04-2015
Page 4 of 4