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防火證明申請書
麻煩請填妥下方表格，以便人員確認製作
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工程名稱︰
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建照號碼︰
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起造人(業主名稱)︰
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承造人：
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工程地點︰
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需求數量
( 基本一式三份，第四份起每份酌收工本費100元)
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一式三份
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寄送地址︰
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收件人︰
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電話:
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