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F.8.5.

DIRECIA DE SNTATE PUBLIC


A JUDEULUI CLUJ
__________________________________
(PROIECTANT)

FIA TEHNIC
n vederea emiterii Acordului Unic,
pentru obinerea avizului sanitar
1. DATE DE IDENTIFICARE A OBIECTIVULUI DE INVESTIII
1. Denumire (1)______________________________________________________________
2. Amplasament (1)___________________________________________________________
3. Beneficiar (1)______________________________________________________________
4. Proiect (1) nr.____________ elaborator (1)_______________________________________
2. CARACTERISTICILE TEHNICE SPECIFICE ALE INVESTIIEI (1) (n funcie de
tipul de construcie)
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
3. MODUL DE INDEPLINIRE A CERINELOR AVIZATORULUI (1):
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
4. MODUL DE INDEPLINIRE A CONDIIILOR I RESTRICIILOR IMPUSE (1)
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
INTOCMIT (2)
__________________________________________________________________________
5. Vznd specificrile prezentate n FIA TEHNIC privind modul de indeplinire a
cerinelor de avizare, precum i documentaia depus pentru autorizare ( PAC / PAD / POE ),
se acord :
AVIZ FAVORABIL
n vederea emiterii Acordului Unic fr / cu urmtoarele condiii (3):
__________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
(3)

____________________________________
(nume, prenume, semntura)
L.S.
Data : _______________

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