年　月　日　　　　　　　　　　　年　月　日

　　附件一：　房屋平面图
　　附：房屋方位图；分门分层平面图（1：100或1：200），将该房屋圈红，加盖骑缝章。

　　附件二： 房屋抵押、租赁等情况

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　　附件三：　房屋质量、设备等情况

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　　附件四：建筑节能

　　各项能源消耗指标：

　　节能措施及保护：

　　保温工程保修期：

　　附件五：补充协议
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