Приложение к техническому паспорту на здание (строение)

+----+----------------------------------+--------+---------+------------+

|NN  |Наименование документа            |Масштаб |Количест-|Примечание  |

|п.п.|                                  |        |во листов|            |

+----+----------------------------------+--------+---------+------------+

|  1 |              2                   |    3   |    4    |     5      |

+----+----------------------------------+--------+---------+------------+

| 1  |Поэтажный план                    |        |         |            |

+----+----------------------------------+--------+---------+------------+

| 2  |Экспликация к поэтажному плану    |        |         |            |

+----+----------------------------------+--------+---------+------------+

|    |                                  |        |         |            |

+----+----------------------------------+--------+---------+------------+

|    |                                  |        |         |            |

+----+----------------------------------+--------+---------+------------+

|    |                                  |        |         |            |

+----+----------------------------------+--------+---------+------------+

|    |                                  |        |         |            |

+----+----------------------------------+--------+---------+------------+

+-----------------------------------------------------------------------+

|      Паспорт выдан "_______"______________  _________ г.              |

|                                                                       |

| Руководитель БТИ __________________________________________________   |

|                                                                       |

+-----------------------------------------------------------------------+

Приложение к техническому паспорту
на здание (строение)

Экспликация к поэтажному плану здания (строения),

расположенного в городе (другом поселении) _____________________________

по ул. (пер.) _________________________ дом N __________________________

+----+---+----+----+----+---+---+----------------+----+------+-------+----+

|Ли- |Эт-|Но- |Но- |На- |Фо-|Об-|В т.ч. пло-     |Вы- |Пло-  |Самово-|При-|

|те- |аж |мер |мер |зна-|рм-|щая|щадь            |сота|щадь  |льно   |ме- |

|ра  |   |по- |ко- |че- |ула|пл-+---+-------+----+по- |по-   |возве- |ча- |

|по  |   |ме- |мна-|ние |по-|ощ-|кв-|из нее |лод-|ме- |мещ.  |денная |ние |

|пла-|   |ще- |ты, |по- |дс-|адь|ар-+---+---+жий,|ще- |об-   |или пе-|    |

|ну  |   |ния |ку- |ме- |че-|кв-|ти-|жи-|по-|бал-|ний |щего  |реобо- |    |

|    |   |(кв-|хни,|ще- |та |ар-|ры |лая|дс-|ко- |по  |по-   |руд.   |    |

|    |   |ар- |ко- |ний:|ча-|ти-|   |   |об-|нов |вну-|льзо- |площадь|    |

|    |   |ти- |рид.|жи- |ст-|ры |   |   |ная|тер-|тре-|вания |       |    |

|    |   |ры) |и   |лая |ей |   |   |   |   |рас,|нне-|      |       |    |

|    |   |    |т.п.|ком-|по-|   |   |   |   |ве- |му  |      |       |    |

|    |   |    |    |на- |ме-|   |   |   |   |ранд|об- |      |       |    |

|    |   |    |    |та, |ще-|   |   |   |   |и   |меру|      |       |    |

|    |   |    |    |ку- |ния|   |   |   |   |кла-|    |      |       |    |

|    |   |    |    |хня |   |   |   |   |   |до- |    |      |       |    |

|    |   |    |    |и   |   |   |   |   |   |вых |    |      |       |    |

|    |   |    |    |т.п.|   |   |   |   |   |с   |    |      |       |    |

|    |   |    |    |    |   |   |   |   |   |ко- |    |      |       |    |

|    |   |    |    |    |   |   |   |   |   |эф. |    |      |       |    |

+----+---+----+----+----+---+---+---+---+---+----+----+------+-------+----+

| 1  | 2 |  3 | 4  |  5 | 6 | 7 | 8 | 9 | 10| 11 | 12 | 13   |   14  | 15 |

+----+---+----+----+----+---+---+---+---+---+----+----+------+-------+----+

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+----+---+----+----+----+---+---+---+---+---+----+----+------+-------+----+

+----+---+----+----+----+---+---+---+---+---+----+----+------+-------+----+

+----+---+----+----+----+---+---+---+---+---+----+----+------+-------+----+

+----+---+----+----+----+---+---+---+---+---+----+----+------+-------+----+

+----+---+----+----+----+---+---+---+---+---+----+----+------+-------+----+

+----+---+----+----+----+---+---+---+---+---+----+----+------+-------+----+

+----+---+----+----+----+---+---+---+---+---+----+----+------+-------+----+

+----+---+----+----+----+---+---+---+---+---+----+----+------+-------+----+

+----+---+----+----+----+---+---+---+---+---+----+----+------+-------+----+

+----+---+----+----+----+---+---+---+---+---+----+----+------+-------+----+

+----+---+----+----+----+---+---+---+---+---+----+----+------+-------+----+

+----+---+----+----+----+---+---+---+---+---+----+----+------+-------+----+

+----+---+----+----+----+---+---+---+---+---+----+----+------+-------+----+

+----+---+----+----+----+---+---+---+---+---+----+----+------+-------+----+

+----+---+----+----+----+---+---+---+---+---+----+----+------+-------+----+

+----+---+----+----+----+---+---+---+---+---+----+----+------+-------+----+

+----+---+----+----+----+---+---+---+---+---+----+----+------+-------+----+

+----+---+----+----+----+---+---+---+---+---+----+----+------+-------+----+

+----+---+----+----+----+---+---+---+---+---+----+----+------+-------+----+

+----+---+----+----+----+---+---+---+---+---+----+----+------+-------+----+

+----+---+----+----+----+---+---+---+---+---+----+----+------+-------+----+

+----+---+----+----+----+---+---+---+---+---+----+----+------+-------+----+

+----+---+----+----+----+---+---+---+---+---+----+----+------+-------+----+