SC TOMSBAU SRL

SANTIERUL____________________
PUNCT DE LUCRU ______________
OBIECT ________________________

PROCES VERBAL DE VERIFICARE A

COTEI DE FUNDARE
Nr. ________ Data __________

Am procedat la verificarea cotei de fundare pentru :

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aferente obiectivului : __________________________________________________
Verificarea s-a facut pe baza prevederilor plansei de executie nr. ___________
din proiectul nr. ____________________ sau a dispozitiei de santier nr. __________
din data de ________________ rezultand urmatoarele :
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Numele si prenumele Semnatura
PROIECTANT: ________________________ ____________
CONSTRUCTOR: ________________________ ____________