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[]
["用 热 申 请 表"]
[]
["填表日期：       年     月      日                                                                    表单编号："]
["用热单位\n（公章）",{"$nulls":4},"用热地址"]
["法定代表人",{"$nulls":4},"单位性质"]
["用热负责人",{"$nulls":4},"联系电话"]
["建设单位",{"$nulls":4},"建成年限"]
["节能建筑","是  □      否  □",{"$nulls":3},"单户控制","是  □      否  □"]
["采暖设施情况\n及自供参数","供水","压力",null,null,"采暖方式","地暖 □  散热器 □  空调 □"]
[null,null,"温度",{"$nulls":3},"双管并联系统 □ 单管串联系统 □"]
[null,"回水","压力",null,null,"敷设方式","架空敷设  □   地埋敷设  □"]
[null,null,"温度",null,null,"使用年限"]
["既有建筑情况","建筑面积\n（m2）","楼栋数\n（栋）","层高\n（米）","最高楼层（层）","待开发建筑情况","建筑面积\n（m2）","楼栋数\n（栋）","层高\n（米）","最高楼层（层）"]
["经 营",{"$nulls":4},"经 营"]
["办 公",{"$nulls":4},"办 公"]
["公办教育  ",{"$nulls":4},"公办教育  "]
["民 用",{"$nulls":4},"民 用"]
["小计",{"$nulls":4},"小计"]
["申请面积合计",null,"第一年预计\n用热面积",null,null,"第二年预计\n用热面积",null,"第三年预计\n用热面积"]
["申请人签字",{"$nulls":4},"联系电话"]
["本表单一式两份，供用热双方各执一份"]

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