建设项目预防性卫生审核申请登记表(卫生局)

上海市卫生局

建设项目预防性卫生审核申请登记表

（）卫建登字（）第号建设单位地址

组织机构代码经济类型

法定代表人联系人电话邮编

设计单位地址

法定代表人联系人电话邮编

项目名称建设地点区、县路

建设性质：新建（）改建（）扩建（）技术改造（）技术引进（）其它（）建筑面积（m2）项目总投资（万元）

主要用途

申请内容：

建设单位（章）设计单位（章）

年月日年月日

申报单位遵守事项：

一、新建、改建、扩建及利用原有建筑进行设备改造、更新的项目，均

须填写此表。

二、随本申报表应附送下列文件、图纸：

1、项目批准文件（复印件）

2、地形图

3、建筑总平面图

4、日照分析图及说明

5、建筑设计图（平面、立面、剖面）

6、给排水总图

7、给排水设计图

8、通风设计图

9、工艺设计图及说明

10、设备布置图

11、卫生行政部门要求提供的其它资料

三、建设、设计单位应保证所申报的资料均真实，合法、正确。如有不实处，建设、设计单位须负相应法律责任，并承担由此造成的一切后果。

When you are old and grey and full of sleep,

And nodding by the fire, take down this book,

And slowly read, and dream of the soft look

Your eyes had once, and of their shadows deep;

How many loved your moments of glad grace,

And loved your beauty with love false or true,

But one man loved the pilgrim soul in you,

And loved the sorrows of your changing face;

And bending down beside the glowing bars,

Murmur, a little sadly, how love fled

And paced upon the mountains overhead

And hid his face amid a crowd of stars.

The furthest distance in the world

Is not between life and death

But when I stand in front of you

Yet you don't know that

I love you.

The furthest distance in the world

Is not when I stand in front of you

Yet you can't see my love

But when undoubtedly knowing the love from both Yet cannot be together.

The furthest distance in the world

Is not being apart while being in love

But when I plainly cannot resist the yearning

Yet pretending you have never been in my heart. The furthest distance in the world

Is not struggling against the tides

But using one's indifferent heart

To dig an uncrossable river

For the one who loves you.