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[{"$nulls":22},"令和",null,null,"年",null,"月",null,"日"]
["調 査 業 務 申 込 書"]
[{"$nulls":8},"（第一面）\n※　登録建築物調査に関しては申請書と読み替えるものとする"]
["富士建築センター株式会社"]
["　代表取締役　竹内 富士雄　殿"]
[{"$nulls":17},"お申込者"]
[{"$nulls":17},"会社名："]
[{"$nulls":17},"ご氏名/\n代表者名:",{"$nulls":11},"印"]
[{"$nulls":17},"所在地："]
[{"$nulls":17},"ご担当部署\n/ご氏名\n",{"$nulls":6},"TEL/FAX"]
[null,"下記のとおり調査業務を申し込みます。申し込みにあたっては、富士建築センター株式会社調査業務約款を遵守します。"]
[null,"また、この申込書及び添付図書に記載の事項は、事実に相違ありません。"]
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["調査内容等","□","防火対象定期点検報告",{"$nulls":4},"【消防法第8条の２の２による】",{"$nulls":7},"□","インスペクション（既存住宅調査）"]
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[null,"□","遵法性に関する基本的事項",{"$nulls":12},"□","構造検証"]
[null,null,"□","建築基準法例"]
[null,null,"□","住宅の品質確保の促進等に関する法律",{"$nulls":11},"□","耐震診断",null,null,"【建築物の耐震改修の促進に関する法律に基づく】"]
[null,null,"□","その他の法令"]
[null,"その他"]
[null,"目的詳細等：",null,null,"住宅性能証明業務（図面審査および検査）"]
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["備考"]
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[{"$nulls":22},"手数料："]
[{"$nulls":22},"検査実施日："]
[{"$nulls":22},"検査員："]

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["委　任　状"]
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["私は",0]
[null,"担当",{"$nulls":3},"を代理人と定め下記に関する権限を委任致します。"]
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["記"]
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["■","住宅性能証明の申請および検査業務"]
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["上記のチェック□のチェックマークをつけた業務に関する手続き、関連図書の作成、訂正及び\n検査機関から交付される文書の受領"]
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["物件名：",null,0]
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[{"$nulls":6},"日付：","2021-01-01"]
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