I.S.C.

______________________________________________________________________
PROCES-VERBAL DE CONTROL AL
CALITII LUCRRILOR N FAZE DETERMINANTE
ncheiat astzi ______________________________
Nr. de nregistrare la I.S.C.____________________________________________________________________
Nr. de nregistrare la societatea controlat
Ca urmare a controlului statului efectuat la faa locului de inspectorul de specialitate______________________
__________________________________ la obiectivul ____________________________________________
_______________________________________ ce se realizeaz n baza autorizaiei de construire nr. _________
____________________ valabil pn la data de__________________ obiectul__________________________
ce se execut pe baza proiectului nr.____________elaborat de_________________________________________
verificat de:
Numele i prenumele

Atestat nr .

n domeniile

1.________________________________________________________________________________________
2.________________________________________________________________________________________
3. _______________________________________________________________________________________
4.________________________________________________________________________________________
responsabil tehnic cu executia:
Numele i prenumele

Atestat nr.

n domeniile

n faza determinant_________________________________________________________________________
n prezena executantului____________________________________________________________________
reprezentat de_____________________________________________________________________________
cu participarea beneficiarului__________________________________________________________________
reprezentat de_____________________________________________________________________________
inspectorul de antier_________________________autorizat nr._____________________________________
i a proiectantului__________________________________________________________________________
reprezentat de_____________________________________________________________________________
.