(Signature of receiver) (Signature of issuer)
ANNEXURE-3B
Exact Location of work (Area/ Unit/ Equipment No. etc.)………………………………………………
Description of work ………………………………………………………………………………………..
Sketch of the area of excavation enclosed.
Permission is solicited from ……….Hrs. on (date)………………..to………………Hrs. on
(date)………..
Signature of Executer………………………. Name and Designation of executor……………………
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1. Underground Power Cable: Existing Not existing Permission given: Yes No Precaution, if
any………………………………………………………………………………………
Signature …………………….. Date ……………………… Area: Electrical Head
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