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UNITATEA ______________________________________________________________

ANTIER ________________________ PUNCT DE LUCRU ______________________


OBIECTUL ______________________________________________________________

PROCES VERBAL
DE TRASARE A LUCRRILOR DE
______________________________________________________________
______________________________________________________________
______________________________________________________________
Nr. _____ Data _____________

Trasarea a fost executat pe baza planelor nr. _________________________


din proiectul nr. __________________
Elementul de reper i verificarea este (borna, construcia nvecinat etc.)
______________________________________________________________
______________________________________________________________
avnd coordonatele: X _____________
Y _____________
Z _____________
Cota: ____________________

Numele

Prenumele

Semntura

Executat trasarea:

__________

__________

_________

Verificat:

__________

__________

_________