UNITATEA ______________________________________________________________

SANTIER ________________________________________________________________
PUNCT DE LUCRU________________________________________________________
OBIECTUL_______________________________________________________________

PROCES VERBAL DE TRASARE A LUCRARILOR

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_____________________________________________________________________________________
___________________________________________

Nr.___________ Data____________

Trasarea a fost executata pe baza planselor nr.____________________ din proiectul nr.____________.

Elementul de reper si verificare este: (borna, constructia invecinata etc)
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_________________________________________________________

X _________________
avand coordonatele: Y _________________
_________________
Z

Cota ____________

Executat trasarea: Verificat:

Numele: ____________ ____________
Prenumele: ____________ ____________
Semnatura: ____________ ____________

Proiectant: RTE:

____________ ____________
____________ ____________
____________ ____________