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["様式第６（補助金交付申請書（兼工事完了報告書））"]
[{"$nulls":66},"平成",{"$nulls":4},"年",{"$nulls":5},"月",{"$nulls":5},"日"]
["一般社団法人　環境共創イニシアチブ"]
["　代　表　理　事　　　赤池　学　殿"]
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[{"$nulls":36},"予　約　者",{"$nulls":7},"郵便番号"]
[{"$nulls":44},"住　　所",{"$nulls":4},"住　　所"]
[{"$nulls":44},"(ふりがな)",{"$nulls":4},"(ふりがな)"]
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[{"$nulls":44},"電話番号",{"$nulls":4},"電話番号"]
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[{"$nulls":36},"手続代行者",{"$nulls":7},"郵便番号"]
[{"$nulls":44},"住　　所",{"$nulls":4},"住　　所"]
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["平成２５年度 住宅・ビルの革新的省エネ技術導入促進事業費補助金"]
["（ネット・ゼロ・エネルギー・ハウス支援事業）"]
["補助金交付申請書（兼工事完了報告書）"]
[]
[" 住宅・ビルの革新的省エネ技術導入促進事業費補助金（ネット・ゼロ・エネルギー・ハウス支援事業）交付規程第１０条の規定に基づき、以下のとおり経済産業省からの住宅・ビルの革新的省エネ技術導入促進事業費補助金交付要綱第３条に基づく国庫補助金に係る補助事業の工事の完了を報告するとともに補助金の交付を申請します。"]
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["１．工事完了日",{"$nulls":28},"平成",{"$nulls":9},"年",{"$nulls":7},"月",{"$nulls":7},"日"]
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["２．補助金交付申請額",{"$nulls":54},"円"]
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["３．補助金の振込先"]
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["【銀行コード】",{"$nulls":19},"【支店コード】",{"$nulls":47},"【氏名】"]
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[{"$nulls":50},"※7桁の数字を右詰めで記入"]
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[{"$nulls":60},"暖房・冷房・給湯・換気・照明"]
[{"$nulls":61},"※該当設備区分に○を記入"]
["（手続代行者連絡先）"]
["会　社　名",{"$nulls":42},"所　　　属"]
["担　当　者",{"$nulls":42},"E-mail",{"$nulls":9},"@"]
["住　　　所",{"$nulls":9},"〒"]
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[]
["（備考）用紙は日本工業規格Ａ４とし、縦位置とする。\n一般社団法人 環境共創イニシアチブが執行する住宅・ビルの革新的省エネ技術導入促進事業費補助金（ネット・ゼロ・エネルギー・ハウス支援事業）は、経済産業省が定めた住宅・ビルの革新的省エネ技術導入促進事業費補助金交付要綱第３条に基づき、当法人に交付される国庫補助金から、新築及び既築住宅に、高断熱性能、高性能設備と制御機構等を組み合わせ、住宅の年間の一次エネルギー消費量が正味（ネット）で概ねゼロとなる住宅を導入しようとする方に交付するものです。\n"]