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ANEXO J

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Ao Sr. Comandante do Corpo de Bombeiros Militar

Encaminho a V.S. solicitao de:

Recurso Administrativo Notificao de Correo de Anlise

Recurso Administrativo em Notificao de Correo de Vistoria
1 Instncia

PPCI N_______________

2 Instncia

SOLICITAO DE RECURSO ADMINISTRATIVO NOTIFICAO DE CORREO SRANC

1. IDENTIFICAO DA EDIFICAO OU REA DE RISCO DE INCNDIO
Razo Social:
Nome Fantasia:
CNPJ:
Logradouro:
N:

Complemento:

Municpio:

Bairro:
CEP:

2. IDENTIFICAO DO PROPRIETRIO OU RESPONSVEL PELO USO DA EDIFICAO (mediante procurao)

Nome do Proprietrio:
CPF:

Telefone:

E-mail:

Telefone:

E-mail:

Nome do responsvel pelo uso:

CPF:

3. IDENTIFICAO DO RESPONSVEL TCNICO PELO PPCI

Nome:
CPF:

Telefone:

Formao profissional:

E-mail:
N CREA/CAU:

4. DOCUMENTOS JUNTADOS SOLICITAO DE RECURSO ADMINISTRATIVO

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ANEXO J

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5. RAZES DO RECURSO E FUNDAMENTAO LEGAL

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______________, RS, ____ de ______________ de ________

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Propietrio e/ou
Proprietrio
e/ou responsvel
responsvel pelo
pelo uso
uso da
da edificao
edificao

ResponsvelTcnico
tcnico pelo PPCI
Responsvel

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ANEXO J

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6. DECISO (para preenchimento do CBMRS)

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NOME
POSTO
NOMEDO
DOOFICIAL
OFICIALENCARREGADO
ENCARREGADO Posto
Funo
FUNO