PDF《ICU MW32》

Form ICU MW32 (03/2019) - P.

1/2 小型工程项目 Works Item 工程描述 Works (包括性质、位置和数量 Including the nature, location and quantity) 如空位不敷应用,请另加纸张填写并在每页加签,注明日期及(如适用)盖上公司印鉴. space is insufficient, please attach additional sheet(s) which must be signed, dated and affixed with company seal (if applicable.) 徵收差饷及/或地租通知书左上角的帐目编号 (可选择提供) The Account Number printed on the top left-hand corner of the Demand for Rates and/or Government Rent (Optional) 有关竖设或改动第 III 级别小型工程的招牌的呈交编号申请书 Request for Submission Number for Class III Minor Works Relating to the Erection or Alteration of Signboard ? 请以正楷填写,并在适当方格内加上『√』号.填写前, 请细阅《注意事项》. ? Read the Matters to Note , complete in BLOCK LETTERS and tick the appropriate boxes. 致独立审查组 To Independent Checking Unit ( ICU ) 由已获委任的订明注册承建商填写 To be completed by the appointed prescribed registered contractor 拟进行小型工程的位置或地址 Location or Address of the Proposed Minor Works to be Carried Out 为方便确定工程位置或地址 For easy identification of location or address of works 拟进行的招牌工程的详情 Details of the Proposed Signboard Works to be Carried Out 只限於《建筑物(小型工程)规例》附表

1 第3部小型工程一览表内项目 3.16 及3.17 内所述的竖设及改动招牌工程 Restricted to the erection and alteration works of signboard described under items 3.16 and 3.17 of the List of Minor Works in Part

3 of Schedule

1 of the Building (Minor Works) Regulation 预计工程展开日期 Expected Date of Commencement 日dd 月mm 年yyyy 预计工程完成日期 Expected Date of Completion 日dd 月mm 年yyyy 工程涉及竖设的招牌数量 Number of Signboard to be Erected 工程涉及改动的招牌数量 Number of Signboard to be Altered 甲部 竖设或改动招牌工程的初步资料 Part A Preliminary Information of the Erection or Alteration Works of Signboard 区域 Area 地区 District 香港 Hong Kong 九龙 Kowloon 新界 New Territories 街道/乡Street/Village 大厦/屋苑 Building/Estate 楼层 Floor 仅供职员使用 For official use only 小型工程呈交编号 Minor Works Submission Number 街道号码 Street No. 单位/室Flat/Room 运输及房屋局 常任秘书长 (房屋)办公室 Office of the Permanent Secretary for Transport and Housing (Housing)

1 2 张Pages 另加附加页 Additional *根萦钍鹱⒉峒锹 ( In accordance with the registration record in Buildings Department) ^ 删去不适用者(Delete as appropriate) # (如适用)(if applicable) + For explanatory note on signing capacity, refer to Appendix B of ICUI

04 ICU MW32 Form ICU MW32 (03/2019) - P.2/2 安排进行小型工程的人的详情 Particulars of the Person who Arranged for the Minor Works to be Carried Out 有关招牌是为某人而竖设的人士(即招牌拥有人)的详情 Particulars of the Person for whom the Signboard Is to be Erected (i.e. Signboard Owner) 中文名称* Name in Chinese* 英文名称* Name in English* 本人/我们为甲部所述工程的已获委任的订明注册承建商, 1. 就甲部所述工程,呈交甲部所述的初步资料,以申请一个呈交编号,以展示在竖设或被改动的招牌上;

2. 明白及了解: ? 本申请书并非简化规定下的呈交,获得呈交编号并不代表已符合《建筑物(小型工程)规例》第6部内简化规定的要求;