FISA TEHNICAin vederea emiterii Acordului Unic

pentru avizul privind protectia civila,

1.DATE DE IDENTIFICARE A OBIECTIVULUI DE INVESTITII1. Denumire____________________________________________________2. Amplasament________________________________________________3. Beneficiar___________________________________________________4. Proiect nr. ____________________ elaborator ______________________

2.CARACTERISTICILE TEHNICE SPECIFICE ALE INVESTITIEI ( 1) (in functie de tipul constructiei)

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________3.MODUL DE INDEPLINIRE A CERINTELOR AVIZATORULUI ( 1)

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________4.MODUL DE INDEPLINIRE A CONDITIILOR SI RESTRICTIILOR IMPUSE ( 2)

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________

5. Avand in vedere specificarile prezentate in FISA TEHNICA privind modul de indeplinire a cerintelor de avizare, precum si documentatia depusa pentru autorizare (PAC/PAD/POE), se acorda:

AVIZ FAVORABIL NR__________

in vederea emiterii Acordului unic fara / cu urmatoarele conditii(3):____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

PROIECTANT

MIHALCEA CONSTANTIN P.F.AUT. NR. F21/204/2005FIERBINŢI, IALOMIŢA

MINISTERUL DE INTERNEINSPECTORATUL DE PROTECTIE CIVILA

JUDETEAN IALOMITAStr. Nordului, nr.1, Loc.Slobozia, jud

IALOMITA, Cod 8400, tel/fax: 043/235350

INTOCMIT (2)

Ing. C-tin Mihalcea

Data:___________________

(3)____________________________(nume, prenume, semnatura)