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{"sheet":"調査報告書","index":0,"n_rows":48,"n_cols":35,"rows_kept":48,"cut":false,"hidden":false,"merged":[[1,18,1,22],[5,22,5,31],[6,22,6,31],[10,21,10,23],[16,8,16,9],[16,11,16,12],[10,24,10,28],[1,24,1,29],[4,14,5,16],[3,1,6,12],[0,0,1,16],[16,4,16,7],[3,22,3,31],[4,22,4,31],[0,24,0,25],[41,2,41,29],[44,2,44,29],[11,21,11,25],[27,4,27,7],[16,26,16,28],[18,4,18,7],[21,4,21,7],[23,9,23,19],[25,9,25,15],[23,21,23,27],[25,18,25,24],[38,2,38,29],[18,8,18,9],[18,11,18,12],[35,2,35,29],[16,0,16,3],[21,0,21,3],[16,22,16,24],[23,4,25,7],[8,1,10,16],[21,8,21,9],[21,11,21,12]]}
["公共下水道（取付管・接続ます）の調査報告書",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"令和",null,null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"区",null,null,null,null,null,null,"号"]
[null,"調査業者　（法人にあっては名称及び代表者氏名、指定工事店の場合は指定番号も記入すること）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"指定番号",null,null,null,"電話番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☑"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FAX番号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"調査担当者"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"携帯番号"]
[null,"建築予定場所　（住居表示で記入・無いときは、宅地の地番）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"占用"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","神戸市道",null,null,"□","私道",null,"□","一般国道"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","港湾道路",null,null,"□","区画整理",null,null,"□","河川敷"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","宅内",null,null,"その他（　　　　　　",null,null,"",null,null,null,null,"）"]
["同時引き込み予定：　　水道　　・　　ガス",null,null,null,null,null,null,null,null,null,null,"宅地割の予定：　　　有　　・　　無",null,null,null,null,null,null,null,null,null,"建築予定時期：",null,null,null,null,"令和",null,null,"年",null,"月"]
["調査前に準備する物：　A3　1/500程度の台帳図　本管・取付管説明図　各１枚　市HPより出図"]
[null,null,null,null,"敷地内に複数の取付管・接続ますがある場合、その件数分の調査報告書を提出してください。"]
[null,null,null,null,"該当する項目に☑をしてください。"]
["１．台帳図表記情報"]
[null,null,null,null,"本管",null,null,null,"管径：",null,null,"mm",null,"□","　HP",null,null,"□","　K１",null,null,"□","K　　HP",null,null,"□","　その他"]
[]
[null,null,null,null,"取付管",null,null,null,"管径：",null,null,"mm",null,"□","　HP",null,null,"□","　K１",null,null,"□","K　　HP",null,null,"□","　　無"]
[]
["２　現地調査情報"]
[null,null,null,null,"取付管",null,null,null,"管径：",null,null,"mm",null,"□","　HP",null,null,"□","　K１",null,null,"□","K　　HP",null,null,"□","　　無"]
[]
[null,null,null,null,"接続ます",null,null,null,"□","Φ350　コンクリートます・市章入蓋",null,null,null,null,null,null,null,null,null,null,"□","小口径塩ビます"]
[]
[null,null,null,null,null,null,null,null,"□","コンクリートます・蓋なし",null,null,null,null,null,null,null,"□","コンクリートますなし"]
[]
[null,null,null,null,"使用状況",null,null,null,"□","別からの排水設備の流入なし",null,null,null,null,null,null,null,"□","別からの排水設備流入の疑いあり（通称：共排）"]
[]
["３．使用予定の有無"]
[null,null,null,null,null,null,null,null,"□","使用する",null,null,null,null,null,null,null,"□","使用しない（撤去）"]
[]
[]
[null,"神戸市記入欄"]
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[null,"※提出方法や添付資料については「直接申請・無人・郵送受付、提出書類チェックリスト（改築工事）用」をご確認下さい。"]

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[null,"現地写真"]
[null,"①遠景",null,null,null,null,null,null,"②近景"]
[null,"余　白",null,null,null,null,null,null,"余　白"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"余白欄をクリックして画像を挿入してください"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※マクロを有効にしておく必要があります"]
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[null,"③対面",null,null,null,null,null,null,"④ます周り"]
[null,"余　白",null,null,null,null,null,null,"余　白"]
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[null,"⑤ます深（〇.〇m）",null,null,null,null,null,null,"⑥ます位置"]
[null,"余　白",null,null,null,null,null,null,"余　白"]
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[null,"⑦取付管口",null,null,null,null,null,null,"⑧その他（　　　　　　　　　　　）※必要に応じて写真添付"]
[null,"余　白",null,null,null,null,null,null,"余　白"]