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[null,"様式第２号（第17条第１項第１号）"]
[]
[{"$nulls":9},"炉・厨房設備・温風暖房機・ボイラー"]
[{"$nulls":9},"給湯湯沸設備・乾燥設備・簡易サウナ設備",{"$nulls":14},"設置届出書"]
[{"$nulls":9},"一般サウナ設備・ヒートポンプ冷暖房機"]
[{"$nulls":9},"火花を生ずる設備・放電加工機"]
[]
[]
[{"$nulls":25},"年",null,"月",null,"日"]
[null,null,"北部上北広域事務組合"]
[null,null,null,"消防署"]
[null,null,"署 長",{"$nulls":9},"様"]
[]
[{"$nulls":12},"届出者",{"$nulls":8},"（電話",{"$nulls":8},"）"]
[]
[{"$nulls":12},"住所"]
[]
[{"$nulls":12},"氏名"]
[]
[null,null,"防火対象物",null,null,null,"所在地",{"$nulls":14},"電話"]
[{"$nulls":6},"名称",{"$nulls":13},"主要用途"]
[null,null,"設 置 場 所",null,null,null,"用途",{"$nulls":6},"床面積",{"$nulls":6},"㎡","消防用設備等又は特殊消防用設備等"]
[{"$nulls":6},"構造",{"$nulls":6},"階　層"]
[null,null,"届出設備",null,null,null,"設備の種類"]
[{"$nulls":6},"着工（予定）年月日",{"$nulls":10},"竣工（予定）年月日"]
[{"$nulls":6},"設備の概要"]
[{"$nulls":6},"使用する燃\n料・熱源・\n加工液",{"$nulls":4},"種　　　　　類",{"$nulls":8},"使　　用　　量"]
[]
[{"$nulls":6},"安全装置"]
[null,null,"取扱責任者の職氏名"]
[null,null,"工事施工者",{"$nulls":6},"住所",{"$nulls":11},"電話"]
[{"$nulls":9},"氏名"]
[null,null,"※　受　付　欄",{"$nulls":11},"※　経　過　欄　"]
[]
[]
[null,null," （備考）　",1,null,null,"この用紙の大きさは、日本産業規格Ａ４とすること。"]
[null,null,null,2,null,null,"法人にあっては、その名称、代表者氏名、主たる事務所の所在地を記入すること。"]
[null,null,null,3,null,null,"階層欄には、屋外に設置する設備にあっては、「屋外」と記入すること。"]
[null,null,null,4,null,null,"設備の種類欄には、鉄鋼溶解炉、暖房用熱風炉、業務用暖房設備と記入すること。"]
[null,null,null,5,null,null,"設備の概要欄に書き込めない事項は、別紙に記載して添付すること。"]
[null,null,null,6,null,null,"※印の欄は記入しないこと。"]
[null,null,null,7,null,null,"当該設備の設計図書を添付すること。"]