Republic of the Philippines
Department of the Interior and Local Government
BUREAU OF FIRE PROTECTION
LASAM FIRE STATION-CAGAYAN
Centro 1, Lasam, Cagayan
Hotline No:09171102119
Email Add:
[email protected] FSIC NO. R2-NW-018582 02 May 2024
Date
FIRE SAFETY INSPECTION CERTIFICATE
FOR CERTIFICATE OF OCCUPANCY
X FOR BUSINESS PERMIT(NEW/RENEWAL)
OTHERS ____________________________
TO WHOM IT MAY CONCERN:
By virtue of the provisions of RA 9514 otherwise known as the Fire Code of the Philippines of
2008, the application for FIRE SAFETY INSPECTION CERTIFICATE of
GRUPO MARILEN INC__ ________
(Name of Establishment)
owned and managed AVELINA BABARAN with postal address at
(Name of Owner/Representative)
______________________ LASAM, CAGAYAN_ _________________________
(Address)
is hereby GRANTED after said building structure or facility has been duly inspected with the finding that it has fully
complied with the fire safety and protection requirements of the Fire Code of the Philippines of 2008 and its Revised
Implementing Rules and Regulations.
This certification is valid for ______________ BUSINESS PERMIT ONLY _________
(Description)
________________________________________________ valid until _____31 DECEMBER 2024___________
Violation of Fire Code provisions shall cause this certificate null and void after appropriate
proceeding and shall hold the owner liable to the penalties provided for by the said Fire Code.
Fire Code Fees: RECOMMEND APPROVAL:
Amount: _500. 00
O.R. Number: 02-24083700 SFO1 Jake A Cabaro .
Date: 02 May 2024 CHIEF, Fire Safety Enforcement Section
APPROVED:
FINSP JEREMY A ABANILLA
ACTING MUNICIPAL FIRE MARSHAL
NOTE: “This Certificate does not take the place of any license required by law and is not transferable. Any change in
the use of occupancy of the premises shall require a new certificate.”
THIS CERTIFICATE SHALL BE POSTED CONSPICUOUSLY
PAALALA: “MAHIGPIT NA IPINAGBABAWAL NG PAMUNUAN NG BUREAU OF FIRE PROTECTION SA MGA KAWANI NITO ANG
MAGBENTA O MAGREKOMENDA NG ANUMANG BRAND NG FIRE EXTINGUISHER”
“FIRE SAFETY IS OUR MAIN CONCERN”
BFP-QSF-FSED-005 Rev. 03 (03.03.20)
