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PAKET / PEK. :

IJIN LEMBURNOMOR : ……………………………..TANGGAL : ……………………………..

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No. Uraian Satuan Volume Tenaga Kerja Satuan Volume

MATERIAL

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5

6

7 PERALATAN

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2

3

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5

6

7

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Mengetahui, Disetujui,Pemberi Tugas Manajemen KonstruksiPT…………. PT. Gubah Reka Trimatra

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NO. FORM : GRT-MK/026 Tanggal : 20-12-2012 Revisi : 01