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[{"$nulls":29},"添付書類"]
[]
["過去１年間のエネルギー月別使用量報告書"]
[]
[]
[{"$nulls":12},"予約者番号："]
[]
[{"$nulls":12},"　 予約者名："]
[]
[null,"①　申請時点で居住している住宅について"]
[]
[null,"　・居住者人数",{"$nulls":9},"人"]
[null,"　・地　　　域　"]
[null,"　・建物種別　　　",{"$nulls":5},"□","戸建（持ち家）",null,null,"□","戸建（賃貸）",null,null,"□","集合住宅（持ち家）",null,null,null,"□","集合住宅（賃貸）",null,null,null,"□","社宅","□","その他（",null,null,null,")"]
[null,"　・工　　　法",{"$nulls":5},"□","木造軸組",null,"□","木造枠組壁（2×4・2×6）",{"$nulls":4},"□","軽量鉄骨造",null,null,"□","重量鉄骨造",null,null,"□","ＲＣ","□","その他（",{"$nulls":4},")"]
[null,"　・延床面積",{"$nulls":9},"㎡"]
[null,"　・開口部の仕様（代表してﾘﾋﾞﾝｸﾞの開口部の仕様を記入）"]
[null,"　　　ｻｯｼ　：　",null,null,"ｱﾙﾐ・ｱﾙﾐﾌﾟﾗｽﾁｯｸ複合・ﾌﾟﾗｽﾁｯｸ・木製・その他（",{"$nulls":27},")"]
[null,"　　　ｶﾞﾗｽ　：　",null,null,"単層・複層・低放射複層ｶﾞﾗｽ（Low-Eｶﾞﾗｽ）・真空ｶﾞﾗｽ・その他（",{"$nulls":27},")"]
[null,"　・その他住宅の性能に関わる情報（",{"$nulls":30},")"]
[]
[null,"②","申請時点で居住している（直近1年間）住宅における過去のｴﾈﾙｷﾞｰ使用量実績値"]
[]
[{"$nulls":4},"電気\n(kWh)",{"$nulls":4},"選択してください",{"$nulls":4},"灯油\n(ℓ)",null,null,"上水道\n(㎥)",{"$nulls":4},"発電量\n(kWh)",{"$nulls":4},"売電量\n(kWh)",null,null,"その他\n(         )"]
[null,null,"月分"]
[{"$nulls":4},"検針月日(     /     )",{"$nulls":4},"検針月日(     /     )",{"$nulls":7},"検針月日(     /     )",{"$nulls":4},"期間( 　　～     日)"]
[null,null,"月分"]
[{"$nulls":4},"検針月日(     /     )",{"$nulls":4},"検針月日(     /     )",{"$nulls":7},"検針月日(     /     )",{"$nulls":4},"期間( 　　～     日)"]
[null,null,"月分"]
[{"$nulls":4},"検針月日(     /     )",{"$nulls":4},"検針月日(     /     )",{"$nulls":7},"検針月日(     /     )",{"$nulls":4},"期間( 　　～     日)"]
[null,null,"月分"]
[{"$nulls":4},"検針月日(     /     )",{"$nulls":4},"検針月日(     /     )",{"$nulls":7},"検針月日(     /     )",{"$nulls":4},"期間( 　　～     日)"]
[null,null,"月分"]
[{"$nulls":4},"検針月日(     /     )",{"$nulls":4},"検針月日(     /     )",{"$nulls":7},"検針月日(     /     )",{"$nulls":4},"期間( 　　～     日)"]
[null,null,"月分"]
[{"$nulls":4},"検針月日(     /     )",{"$nulls":4},"検針月日(     /     )",{"$nulls":7},"検針月日(     /     )",{"$nulls":4},"期間( 　　～     日)"]
[null,null,"月分"]
[{"$nulls":4},"検針月日(     /     )",{"$nulls":4},"検針月日(     /     )",{"$nulls":7},"検針月日(     /     )",{"$nulls":4},"期間( 　　～     日)"]
[null,null,"月分"]
[{"$nulls":4},"検針月日(     /     )",{"$nulls":4},"検針月日(     /     )",{"$nulls":7},"検針月日(     /     )",{"$nulls":4},"期間( 　　～     日)"]
[null,null,"月分"]
[{"$nulls":4},"検針月日(     /     )",{"$nulls":4},"検針月日(     /     )",{"$nulls":7},"検針月日(     /     )",{"$nulls":4},"期間( 　　～     日)"]
[null,null,"月分"]
[{"$nulls":4},"検針月日(     /     )",{"$nulls":4},"検針月日(     /     )",{"$nulls":7},"検針月日(     /     )",{"$nulls":4},"期間( 　　～     日)"]
[null,null,"月分"]
[{"$nulls":4},"検針月日(     /     )",{"$nulls":4},"検針月日(     /     )",{"$nulls":7},"検針月日(     /     )",{"$nulls":4},"期間( 　　～     日)"]
[null,null,"月分"]
[{"$nulls":4},"検針月日(     /     )",{"$nulls":4},"検針月日(     /     )",{"$nulls":7},"検針月日(     /     )",{"$nulls":4},"期間( 　　～     日)"]
[null,"合計",null,null,0,{"$nulls":4},0,{"$nulls":4},0,null,null,0,{"$nulls":4},0,{"$nulls":4},0,null,null,0]
[null,"※使用しているｴﾈﾙｷﾞｰについて記入すること"]
[null,"※電気、都市ガス及びLPGの使用量は、毎月の検針票、領収書等に記載されている数値を記入すること"]
[null,"※電気、ガス及び上水道は、上段に使用量、下段に検針月日を記入すること"]
[null,"※電気の時間帯別電灯契約等をしている方は、毎月の使用量の合計を記入すること"]
[null,"※上水道使用量が2ヶ月毎の検針の場合は、検針票、領収書等に記載されている2ヶ月合計の数値を記入すること"]
[null,"　（例えば、4～5月分の使用量は5月欄に合計値を記入する）"]
[null,"※太陽光発電システム、家庭用コージェネレーションシステム等の発電設備を設置している方は、発電量（モニター数値）を記入すること"]
[null,"　（上段に発電量、下段に発電量の計測期間（例えば、4月分は1～30日）を記入する）"]
[null,"※太陽光発電システムを設置している方は電力会社への売電量（検針票の数値）も記入すること"]
[null,"※灯油、その他（ペレットや重油など）を使用している方は、月毎の購入量を記入すること"]
[null,"※電気・都市ｶﾞｽ・LPG・灯油等については、使用量及び期間（日にち単位）の分かる証憑（検針票または請求書等）の写しを必ず添付すること"]