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様式-6(4) |
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施工体制台帳（工事担当技術者） |
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工事担当技術者台帳 |
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元請会社名 |
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会社名 |
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会社名 |
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会社名 |
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会社名 |
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監理技術者名 |
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主任技術者名 |
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主任技術者名 |
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主任技術者名 |
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主任技術者名 |
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生年月日 |
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・ |
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・ |
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・ |
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・ |
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【写真添付欄】 |
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【写真添付欄】 |
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【写真添付欄】 |
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【写真添付欄】 |
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【写真添付欄】 |
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会社名 |
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会社名 |
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会社名 |
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会社名 |
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主任技術者名 |
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主任技術者名 |
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主任技術者名 |
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主任技術者名 |
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【注意事項】 |
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・ |
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※ |
添付する写真は、 |
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縦 |
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3cm |
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横 |
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2.5cm |
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程度の大きさとし、 |
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【写真添付欄】 |
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【写真添付欄】 |
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【写真添付欄】 |
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【写真添付欄】 |
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顔が判別できるものとする。 |
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※ |
番号は、施工体系図の番号 |
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とする。 |
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※ |
本様式は、２部作成し、 |
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１部保管し、１部提出する。 |
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ただし､カラーコピーもしくは |
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会社名 |
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会社名 |
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会社名 |
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会社名 |
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デジタルカメラ写真を印刷し |
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主任技術者名 |
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主任技術者名 |
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主任技術者名 |
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主任技術者名 |
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たものを提出してもよい。 |
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・ |
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・ |
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【写真添付欄】 |
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【写真添付欄】 |
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【写真添付欄】 |
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【写真添付欄】 |
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