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["別記様式第1"]
["確認済証等を交付した旨の証明願"]
[]
[]
["指定確認検査機関"]
[" 株式会社　建築住宅センター　御中"]
[null,null,null,null,null,null,"　　　　年　　月　　日"]
[]
[null,null,null,null,"（申請者）"]
[]
[null,null,null,null,"氏　名"]
[null,null,null,null,"住　所\n(電話番号)"]
[]
[]
[]
[null,"証明書の部数",null,"(",null,"部）"]
[]
[]
["下記の建築物(建築設備、工作物)について証明願います。"]
["　建築主氏名\n　（設置者、築造主）"]
[]
["　建築場所\n　（設置場所、築造場所）"]
[]
["　建築物の概要",null,null,"用途",null,null,null,"階数"]
[]
["確認済証交付年又は登記した年"]
[]
["　証明書を必要とする理由"]
[]
[]
["※上記記載がない場合又は記載事項に誤りがある場合は、物件特定に日数をいただきます。"]
["※確認済証等を交付した旨の証明書は、建築主氏名の記載はありません。"]
[]
["※センター記入欄"]
["（受付欄）",null,null,"（手数料欄）"]
[null,null,null,null,"　　　　　年　　　月　　　日"]
[]
[null,null,null,null,"金額　　　　　　　　　　　円"]
[]
[]
[null,null,null,null,null,null,null,"(20221101)"]

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["㈱建築住宅センターが交付した確認済証等の証明書は、以下の手続きにより交付されます。"]
[]
[]
[]
[null,"窓口による申請"]
[null,"①","確認済証等を交付した旨の証明願"]
[null,"②","申請手数料　（1通につき1,100円（消費税込））"]
[]
[]
[null,"郵送による申請"]
[null,"上記　①～②のほかに"]
[null,"③","申請手数料振込書の写し"]
[null,null,"※申請手数料は事前に下記振込先にお振込みください。"]
[null,null,"※振込手数料は申請者ご負担でお願いします。"]
[null,"④","返信用封筒　（切手を貼り、宛先を記入したもの）"]
[null,null,"※送料の不足分は受取人払いとなります。"]
[]
[]
["必要書類及び入金の確認後、当社より証明書を発送いたします。"]
["なお、発送のご連絡を差し上げますので必ず電話番号をご記入ください。"]
[]
[]
[null,"青森本社",null,null,null,null,null,null,"弘前支社",null,null,null,null,null,null,"八戸支社"]
["郵送先","〒030-0802\n青森市本町四丁目5番5号\n株式会社建築住宅センター青森本社\nＴＥＬ　017-732-7732\nＦＡＸ　017-732-7734",null,null,null,null,null,null,"〒036-8567\n弘前市大字上鞘師町１８番地１\n（弘前商工会議所会館内 3階 ）\n株式会社建築住宅センター弘前支社\nＴＥＬ　0172-31-3050\nＦＡＸ　0172-31-3055",null,null,null,null,null,null,"〒039-2245\n八戸市北インター工業団地一丁目4番43号（八戸インテリジェントプラザ内）\n株式会社建築住宅センター八戸支社\nＴＥＬ　0178-21-2216\nＦＡＸ　0178-21-2217"]
[]
[]
[]
["振込先","　青森銀行　本店営業部\n　普通　1091618",null,null,null,null,null,null,"　みちのく銀行　弘前営業部\n　普通　1402773",null,null,null,null,null,null,"　青森銀行　卸市場支店\n　普通　1199048"]
[]
[null,"　みちのく銀行　国道支店\n　普通　2040551"]
[]
[null,"　青い森信用金庫　青森営業部\n　普通　1234829"]
[]
["名義","　ｶ）ｹﾝﾁｸｼﾞｭｳﾀｸｾﾝﾀｰ\n　株式会社建築住宅センター",null,null,null,null,null,null,"　ｶ）ｹﾝﾁｸｼﾞｭｳﾀｸｾﾝﾀｰ\n　株式会社建築住宅センター",null,null,null,null,null,null,"　ｶ）ｹﾝﾁｸｼﾞｭｳﾀｸｾﾝﾀｰ\n　株式会社建築住宅センター"]