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["国电投兰热分公司集中供热用户入网申请表"]
["年      月      日"]
["申请用热单位"]
["负责部门",null,null,"联   系   人",{"$nulls":3},"电   话"]
["用热单位详细位置"]
["申请用热形式","地    板","□","申请用  热面积",null,"一期",null,"申请用     热时间","一期"]
[null,"暖 气 片","□",null,null,"二期",null,null,"二期"]
[null,"风机盘管","□",null,null,"三期",null,null,"三期"]
["用热范围及面积","办  公",null,null,"住  宅",null,null,"其  他"]
[null,"栋数","面积","层高","栋数","面积","层高","栋数","面积","层高"]
[]
["接口管径","供水管：DN",{"$nulls":3},"回水管：DN"]
["所需提供图纸","1:2000的用热位置地形图；规划部门审批的1:500总平面图；各建筑物设计说明；庭院管网（二次网）平面图；换热站所在建筑的暖通、电气图、给排水图项目总平图，测绘图，供热系统图，热力站建筑剖面图、剖面图、立体图，采暖区域总平面竖向图，综合管网布置图等；注明所需用热供回水温度"]
["申请说明："]
["申请用热单位盖章：                                                                                                                    "]
["年    月    日"]
["备注：入网报装请提供此申请表，提交地点：兰州新区淮河大道兰州新区热电厂，联系电话：宋工0931-5729058 18093187050"]

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