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<p style="margin-right: 7px; margin-bottom: 10px; text-indent: 64px; text-align: left; line-height: 150%;">
<strong><span style="font-family: 微软雅黑;line-height: 150%;font-size: 21px">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;深化设计确认单</span></strong>
</p>
<table width="659" cellspacing="0">
<tbody>
<tr style="height:23px" class="firstRow">
<td style="padding: 0px 7px; border-width: 2px 1px 1px 2px; border-color: windowtext;" width="95" valign="center">
<p style="text-align:center">
<span style="font-family:华文细黑;font-size:14px">申请单位</span>
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</p>
</td>
<td style="padding: 0px 7px; border-width: 2px 1px 1px; border-color: windowtext; word-break: break-all;" width="284" valign="center"></td>
<td style="padding: 0px 7px; border-width: 2px 1px 1px; border-color: windowtext;" width="88" valign="center">
<p style="text-align:center">
<span style="font-family:华文细黑;font-size:14px"><span style="font-family:华文细黑">编</span> &nbsp;&nbsp;<span style="font-family:华文细黑">号</span></span>
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</p>
</td>
<td style="padding: 0px 7px; border-width: 2px 2px 1px 1px; border-color: windowtext;" width="192" valign="center"></td>
</tr>
<tr style="height:23px">
<td style="padding: 0px 7px; border-left-width: 2px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;" width="95" valign="center">
<p style="text-align:center">
<span style="font-family:华文细黑;font-size:14px">项目名称</span>
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</p>
</td>
<td style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;" width="284" valign="center"></td>
<td style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;" width="88" valign="center">
<p style="text-align:center">
<span style="font-family:华文细黑;font-size:14px">申请日期</span>
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;
</p>
</td>
<td style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 2px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;" width="192" valign="center"></td>
</tr>
<tr style="height:23px">
<td style="padding: 0px 7px; border-left-width: 2px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;" width="95" valign="center">
<p style="text-align:center">
<span style="font-family:华文细黑;font-size:14px">合同名称</span>
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;
</p>
</td>
<td style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;" width="284" valign="center"></td>
<td style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;" width="88" valign="center">
<p style="text-align:center">
<span style="font-family:华文细黑;font-size:14px">合同编号</span>
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</p>
</td>
<td style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 2px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;" width="192" valign="center"></td>
</tr>
<tr style="height:23px">
<td style="padding: 0px 7px; border-left-width: 2px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 2px; border-bottom-color: windowtext;" width="95" valign="center">
<p style="text-align:center">
<span style="font-family:华文细黑;font-size:14px">深化范围</span>
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;
</p>
</td>
<td colspan="3" style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 2px; border-right-color: windowtext; border-top: none; border-bottom-width: 2px; border-bottom-color: windowtext;" width="564" valign="center"></td>
</tr>
<tr style="height:261px">
<td colspan="4" style="padding: 0px 7px; border-left-width: 2px; border-left-color: windowtext; border-right-width: 2px; border-right-color: windowtext; border-top: none; border-bottom: 1px double windowtext; word-break: break-all;" width="659" valign="center">
<p>
<span style="font-family:华文细黑;font-size:14px">深化设计内容描述:</span>
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</p>
<p>
<span style="font-family:华文细黑;font-size:14px">&nbsp;</span>
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</p>
<p>
<span style="font-family:华文细黑;font-size:14px">包括图纸目录及版本号(也可作为附件)</span>
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;
</p>
<p>
<span style="font-family:华文细黑;font-size:14px">&nbsp;</span>
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</p>
<p style="text-indent: 434px">
<span style="font-family:华文细黑;font-size:14px">项目负责人:(签字)</span><span style="text-decoration:underline;"><span style="font-family: 华文细黑;font-size: 14px">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span>
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</p>
<p style="text-indent: 434px">
<br/>
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</p>
<p style="margin-right:6px;text-align:right">
<span style="font-family:华文细黑;font-size:14px">申请单位</span><span style="font-family:华文细黑;font-size:14px">:(盖章)</span><span style="text-decoration:underline;"><span style="font-family: 华文细黑;font-size: 14px">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span>
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;
</p>
<p style="margin-right:6px;text-align:right">
<br/>
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</p>
<p style="margin-right:5px">
<span style="font-family:华文细黑;font-size:14px">附件:</span><span style="font-family:华文细黑;font-size:14px"><br/>1.深化图纸(蓝图或硫酸纸版,盖图章、签);<br/>2.电子版本审图意见及回复等; &nbsp; <br/></span><span style="text-decoration:underline;"><span style="font-family: 华文细黑;font-size: 14px">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><span style="font-family:华文细黑;font-size:14px">年</span><span style="text-decoration:underline;"><span style="font-family: 华文细黑;font-size: 14px">&nbsp;&nbsp;&nbsp;&nbsp;</span></span><span style="font-family:华文细黑;font-size:14px">月</span><span style="text-decoration:underline;"><span style="font-family: 华文细黑;font-size: 14px">&nbsp;&nbsp;&nbsp;</span></span><span style="font-family:华文细黑;font-size:14px">日</span>
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</p>
</td>
</tr>
<tr style="height:122px">
<td colspan="4" style="padding: 0px 7px; border-left-width: 2px; border-left-color: windowtext; border-right-width: 2px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;" width="659" valign="center">
<p>
<span style="font-family:华文细黑;font-size:14px">&nbsp;</span>
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</p>
<p>
<span style="font-family:华文细黑;font-size:14px">&nbsp;</span>
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</p>
<p>
<span style="font-family:华文细黑;font-size:14px">&nbsp;</span>
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</p>
<p style="text-indent:434px">
<span style="font-family:华文细黑;font-size:14px">总包单位:(签章)</span><span style="text-decoration:underline;"><span style="font-family: 华文细黑;font-size: 14px">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span>
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</p>
<p style="text-indent:406px">
<span style="font-family:华文细黑;font-size:14px">&nbsp;</span>
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</p>
<p style="margin-left:462px">
<span style="text-decoration:underline;"><span style="font-family: 华文细黑;font-size: 14px">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span><span style="font-family:华文细黑;font-size:14px">年</span><span style="text-decoration:underline;"><span style="font-family: 华文细黑;font-size: 14px">&nbsp;&nbsp;&nbsp;&nbsp;</span></span><span style="font-family:华文细黑;font-size:14px">月</span><span style="text-decoration:underline;"><span style="font-family: 华文细黑;font-size: 14px">&nbsp;&nbsp;&nbsp;</span></span><span style="font-family:华文细黑;font-size:14px">日</span>
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</p>
</td>
</tr>
<tr style="height:98px">
<td colspan="4" style="padding: 0px 7px; border-left-width: 2px; border-left-color: windowtext; border-right-width: 2px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext; word-break: break-all;" width="659" valign="center">
<p style="margin-right:24px">
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</p>
<p style=";text-align:center">
<span style="font-family:华文细黑;font-size:14px">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span><span style="font-family:华文细黑;font-size:14px">&nbsp;&nbsp;</span><span style="font-family:华文细黑;font-size:14px">监理单位:(签章)</span><span style="text-decoration:underline;"><span style="font-family: 华文细黑;font-size: 14px">&nbsp;&nbsp;</span></span><span style="text-decoration:underline;"><span style="font-family: 华文细黑;font-size: 14px">&nbsp;&nbsp;&nbsp;</span></span><span style="text-decoration:underline;"><span style="font-family: 华文细黑;font-size: 14px">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span>
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</p>
<p style=";text-align:center">
<br/>
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</p>
<p>
<span style="font-family:华文细黑;font-size:14px">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span><span style="text-decoration:underline;"><span style="font-family: 华文细黑;font-size: 14px">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span><span style="font-family:华文细黑;font-size:14px">年</span><span style="text-decoration:underline;"><span style="font-family: 华文细黑;font-size: 14px">&nbsp;&nbsp;&nbsp;&nbsp;</span></span><span style="font-family:华文细黑;font-size:14px">月</span><span style="text-decoration:underline;"><span style="font-family: 华文细黑;font-size: 14px">&nbsp;&nbsp;&nbsp;</span></span><span style="font-family:华文细黑;font-size:14px">日</span>
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</p>
</td>
</tr>
<tr style="height:89px">
<td colspan="4" style="padding: 0px 7px; border-width: 1px 2px; border-color: windowtext;" width="659" valign="center">
<p style="margin-right:5px;text-align:center">
<span style="font-family:华文细黑;font-size:14px">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span>
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</p>
<p style="margin-right:5px;text-align:center">
<span style="font-family:华文细黑;font-size:14px">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span><span style="font-family:华文细黑;font-size:14px">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span><span style="font-family:华文细黑;font-size:14px">&nbsp;<span style="font-family:华文细黑">设计院:(签章)</span></span><span style="text-decoration:underline;"><span style="font-family: 华文细黑;font-size: 14px">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span>
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</p>
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<span style="font-family:华文细黑;font-size:14px">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span>
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</p>
<p style="text-indent:504px">
<span style="font-family:华文细黑;font-size:14px">&nbsp;</span><span style="text-decoration:underline;"><span style="font-family: 华文细黑;font-size: 14px">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span><span style="font-family:华文细黑;font-size:14px">年</span><span style="text-decoration:underline;"><span style="font-family: 华文细黑;font-size: 14px">&nbsp;&nbsp;&nbsp;&nbsp;</span></span><span style="font-family:华文细黑;font-size:14px">月</span><span style="text-decoration:underline;"><span style="font-family: 华文细黑;font-size: 14px">&nbsp;&nbsp;&nbsp;</span></span><span style="font-family:华文细黑;font-size:14px">日</span>
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<td colspan="4" style="padding: 0px 7px; border-width: 1px 2px; border-color: windowtext;" width="659" valign="center">
<p style="margin-right:5px;text-align:center">
<span style="font-family:华文细黑;font-size:14px">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style="font-family:华文细黑">规划设计部:(签字)</span></span><span style="text-decoration:underline;"><span style="font-family: 华文细黑;font-size: 14px">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span>
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</p>
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<span style="font-family:华文细黑;font-size:14px">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span>
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</p>
<p style="text-indent:504px">
<span style="font-family:华文细黑;font-size:14px">&nbsp;</span><span style="text-decoration:underline;"><span style="font-family: 华文细黑;font-size: 14px">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span><span style="font-family:华文细黑;font-size:14px">年</span><span style="text-decoration:underline;"><span style="font-family: 华文细黑;font-size: 14px">&nbsp;&nbsp;&nbsp;&nbsp;</span></span><span style="font-family:华文细黑;font-size:14px">月</span><span style="text-decoration:underline;"><span style="font-family: 华文细黑;font-size: 14px">&nbsp;&nbsp;&nbsp;</span></span><span style="font-family:华文细黑;font-size:14px">日</span>
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</p>
</td>
</tr>
<tr style="height:65px">
<td colspan="4" style="padding: 0px 7px; border-width: 1px 2px; border-color: windowtext; word-break: break-all;" width="659" valign="center">
<p>
<span style="font-family:华文细黑;font-size:14px">&nbsp;</span>
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</p>
<p style="text-indent:420px">
<span style="font-family:华文细黑;font-size:14px"><span style="font-family:华文细黑">项目部:(签字)</span> </span><span style="font-family:华文细黑;font-size:14px">&nbsp;</span><span style="text-decoration:underline;"><span style="font-family: 华文细黑;font-size: 14px">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span><span style="text-decoration:underline;"><span style="font-family: 华文细黑;font-size: 14px">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span>
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</p>
<p style="text-indent:420px">
<span style="font-family:华文细黑;font-size:14px">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span>
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</p>
<p style="text-indent:490px">
<span style="text-decoration:underline;"><span style="font-family: 华文细黑;font-size: 14px">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span><span style="font-family:华文细黑;font-size:14px">年</span><span style="text-decoration:underline;"><span style="font-family: 华文细黑;font-size: 14px">&nbsp;&nbsp;&nbsp;&nbsp;</span></span><span style="font-family:华文细黑;font-size:14px">月</span><span style="text-decoration:underline;"><span style="font-family: 华文细黑;font-size: 14px">&nbsp;&nbsp;&nbsp;</span></span><span style="font-family:华文细黑;font-size:14px">日</span>
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</p>
</td>
</tr>
</tbody>
</table>
<p style="text-indent:24px">
<span style=";font-family:华文细黑;font-size:12px"><span style="font-family:华文细黑">注:<br/></span><span style="font-family:华文细黑">1</span></span><span style=";font-family:华文细黑;font-size:12px">.</span><span style=";font-family:华文细黑;font-size:12px">原设计单位仅就深化设计未改变原设计意图和设计原则进行确认,施工图深化单位对深化设计的构件尺寸和现场安装定位等设计结果负责。<br/>2</span><span style=";font-family:华文细黑;font-size:12px">.</span><span style=";font-family:华文细黑;font-size:12px">深化设计图纸不得作为现场工程结算依据,如涉及设计变更并有费用产生,必须根据合同流程以指令单及设计变更形式下达。</span>
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