wi Department of General Services PERFORMANCE RATING Office of the State Architect Structural Safety Section 180-5.l (R 73"- (D0 Not File In Project Fil?) FILE NO.: NAME: APP. No.: /0 45 23 moancr NAME: Pno.nac'r ESTIMATED oosfrz ZUYSKUM 0 71094 TMJ) TYPE or ooNs'mucrIoN: 1 Epo DEGREE OF Simple Moderate Complex L. RELATIONSHIPS: Satisfactory Unsatisfactory KNOWLEDGE OF PRACTICES: Satisfactory Unsatisfactory 3. OF CODE REQUIREMENTS: Satisfactory Unsatisfactory 4. KNOWLEDGE OF PLANS SPECIFICATIONS Satisfactory Unsatisfactory 5. ATYDIDANCE AT Satisfactory Unsatisfactory 6. PERFORMANCE OF Satisfactory Unsatisfactory 7. OVERALL. PERFORMANCE RATING: Satisfactory Unsatisfactory 8. gg: !u.lc? I DIDNDT Hu~1' o/J mf QM an QEHJQ fx/gm Zaf ggegmg Emi Nor Sm; ww.; on lDldoT came Twig; IFF 1/gm; #li wwmu A11 ggi. easy, Ta Suamr 6 fp mow RES AG as eo3W\* vm if was 9. HERE IF INSUFFICIENT (XJNTACT FOR CE APPRAISAL. A 10. RATED BY: /las DATE: f? /lg/UZ" 11. REVIEWED BY PRINCIPAL ENGINEER: DATE: (Required for unsatisfactory overall rating only.) (See other aide for additional infomation.)