CERERE ELIBERARE AVIZ TEHNIC - media. ?· S.C.TELEKOM ROMANIA COMMUNICATIONS S.A. Data: Taxa aviz: Număr de înregistrare: Achitat cu: CERERE ELIBERARE AVIZ TEHNIC

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    03-Feb-2018

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<ul><li><p>S.C.TELEKOM ROMANIA COMMUNICATIONS S.A. </p><p>Data: Taxa aviz: </p><p>Numr de nregistrare: Achitat cu: </p><p>CERERE ELIBERARE AVIZ TEHNIC </p><p>Subsemnatul _____________________________________________________________ </p><p>reprezentant al ___________________________________________________________ </p><p>cu sediul in ____________________CUI______________tel/fax___________________ </p><p>tel mobil___________________________ </p><p>rog eliberarea unui aviz de principiu pentru lucrarea: </p><p>(denumire)_______________________________________________________________ </p><p>________________________________________________________________________ </p><p>o constructie o racord edilitar </p><p>care se va executa la adresa _________________________________________________ din </p><p>localitatea________________________________________________. </p><p>Lucrarile vor incepe in luna ____________________ anul _____________________ </p><p>La prezenta anexez urmatoarele: </p><p> Copie dupa Certificatul de Urbanism </p><p> Documentatia privind lucrarile ce se vor executa: </p><p>- un(1) exemplar Plan de incadrare in zona - doua(2) exemplare Plan de situatie cu detalii de amplasament privind lucrarea propusa </p><p>(scara 1:500 sau 1:1000) </p><p>Emitere factura fiscala: Emitere OP: </p><p> NU/DA NU/DA </p><p> Date necesare emiterii OP: </p><p> Nume ________________________________ </p><p> Adresa ________________________________ </p><p> Cod fiscal ______________________________ </p><p> Cont __________________________________ </p><p>_____________________________________________________________________ </p><p>SOLICITANT AVIZ TEHNIC (nume i semntur) </p></li></ul>