F-05-09 Proces Verbal Predare Primire a Amplasamentului
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Transcript of F-05-09 Proces Verbal Predare Primire a Amplasamentului
Punct de lucru__________________________________________________________
UNIVERSALCONSTRUCT
IMPEXProces verbal de predare-primire a amplasamentului si a bornelor de repere
Cod:
Ediia 1 / Revizia 0
Pagina 1 din 1
Punct de lucru__________________________________________________________
Obiectul _______________________________________________________________
Nr...................Data.................
1. Delimitarea terenului conform plan nr.avand coordonatele (anexele):..
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Plansa nr. .Proiect nr..
Cu repere de identificare a terenului si trasare a lucrarilor (bornele, constructiile etc.):
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..................................................................................................................................
Indicativul bornei de referinta
Cota absoluta.
borna 1borna 2borna 3borna 4
X____________________________
CoordonataY____________________________
Z____________________________
2. Constructii instalatii existente pe amplasament sau in subsol:
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3.Alte mentiuni:
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Beneficiar,
Proiectant,
Constructor,
Numele..........................................................................
Prenumele..........................................................................
Functia....
Semntura............................................................................