8/12/2019 p.v. de p.p. a amplasamentului si a bornelor de reper.doc

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REFERINȚĂ________________________________________________________________________________ȘANTIER __________________________ PUNCT DE LUCRU_________________________________________OBIECTUL

_________________________________________________________________________________

PROCES-VERBAL DE PREDARE-PRIMIREA AMPLASAMENTULUI ȘI A BORNELOR DE REPER

Nr: ________, data _______________ 

1. Delimitarea terenului cf. plan nr.

 __________________________________________având coordonatele (axele):

 __________________________________________________________________________________ 

 __________________________________________________________________________________ Planșa nr:_____________________________, proiect nr.:

 __________________________________ 

cu reperele de identicare a terenului și trasare a lucrrilor (!ornele,

construc"iile, etc.)

 __________________________________________________________________________________ 

 __________________________________________________________________________________ 

#ndicativul !ornei de referin" _________________________ $ota

 ___________________________ 

$ota a!solut____________________________ 

%orna 1 %orna & %orna ' %orna $oordonata(axa)

____________ ____________ ____________ ____________  * ____________ ____________ ____________ ____________ + ____________ ____________ ____________ ____________ 

&. $onstruc"iiinstala"ii existente pe amplasament sau -n su!sol:

 __________________________________________________________________________________ 

 __________________________________________________________________________________ 

 __________________________________________________________________________________ 

'. lte men"iuni:

$/N023$/234 se o!li5:a) s execute lucrarea conf. P -n

condi"iile contractului de lucrri

%6N67#$#234 se o!li5:a) s plteasc constructorului

contravaloarea lucrrilor executateconf. P

. P26D:

Numele Prenumele 7unc"ia 0emntura%6N67#$#2: ______________ ______________ ______________ ______________ 

 ______________ ______________ ______________ ______________ 

P2/#6$N: ______________ ______________ ______________ ______________ 

P2#8#:

8/12/2019 p.v. de p.p. a amplasamentului si a bornelor de reper.doc

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Numele Prenumele 7unc"ia 0emntura$/N023$/2:

 ______________ 

 ______________ ______________ ______________ ______________