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CerttrsUAiiON SHUT <br />T <br />AIA DOCUMENT G703 <br />32 <br />AIA Document G702,,\I'PIJCATIQN ANI) CERTIFICATE FOR PAYMENT, containing <br />Contractor's si ned Certification ts'attached. <br />In tabulations below. amounts are stated to the nearest dollar. <br />Use Column I on Contracts where variable :; tainage for Zine items may apply. <br />APPLICATION NU".ti3LR 2.1 <br />APPLICATIC)N 1)ATE: 12/30/81 <br />PERIOD 1RO.M: 11/31/81 <br />12/31/8:] <br />ARCHI1LC1'S PKO:ECT :O: ,3 <br />A <br />. a-- <br />C <br />D <br />E <br />F• <br />G ! <br />11 <br />I <br />ITEM <br />No. <br />DESCRIPTION OF WORK <br />SFEX <br />SCHEDUI.ED <br />VALUE <br />-1-(.)'.!i411LD <br />•WORK •-r)FAt. <br />( )M'IFTF.0 <br />AND STORED <br />10 DATE <br />tD+E+F) <br />^, <br />IG- C, . <br />t:^i'•' <br />TU I I`;<Fi <br />(' (' <br />{nA,i <br />f revious <br />Applications <br />_ `a . Application <br />Work in race <br />r <br />Stored M or E _ , <br />tnotin Dorf• • <br />042 <br />041 <br />ACCESSIBLE FLOOR <br />250.00 <br />250.00 <br />. <br />- 250.00 <br />100 <br />25.00 <br />002 <br />.._ <br />i. <br />. <br />t <br />042 <br />FLAG POLE •- <br />a <br />.100.00 <br />• 100.00 <br />• . . <br />4 <br />100.00 , <br />100 i <br />10.00 <br />002 <br />043 <br />SIGUAGE <br />200.00 <br />200.00 <br />- <br />! <br />200.00 <br />100 <br />20.00 <br />002 <br />I <br />044 <br />TOILET'ACCESSOR.I'ES <br />100.00 <br />100.00 <br />1 <br />100.00 <br />100 ` <br />10.00 <br />0Q2 <br />• <br />, <br />045 <br />SEATING <br />250.00 <br />250.00 <br />250.00 <br />100 <br />25.00 <br />002 <br />045• <br />FUMING'. ` - . <br />a <br />500.00' <br />500.00 <br />500.00 <br />100 <br />50.00 ' <br />002 <br />047 <br />H V A C. i <br />500.00. <br />500.00 <br />I' <br />500.00 <br />100 • <br />50.00 <br />002 <br />1 <br />; <br />048 <br />ELECTRICAL <br />- • <br />• 500:00}' <br />- . 500.00 <br />500.00 <br />100 : <br />. • <br />50.00 ! <br />002 <br />CLEAR & GRADE EAST- <br />100 <br />OF 18TH <br />4,000.00 <br />4,000.00 <br />4,000.00 <br />100 , <br />400.00 <br />002 <br />_ <br />111. <br />EXT". DEMOLITION <br />:10,000.00.- <br />1:0,000..00 <br />; <br />10,000.00 <br />100 ' <br />t <br />1,000.00 r <br />f <br />f <br />1 <br />! <br />f -GE TOTAL <br />' <br />16,400.00 <br />16,400.00 <br />16,400.00 <br />1 <br />1,640.00 <br />TOTAL OR SUB TOTAL <br />i <br />79,850.00, <br />5 <br />79 8�O.OQ <br />79,850.00 <br />1 <br />I <br />7,925.00 <br />AIA DOCUMENT G703 • CONTINUATION SHE:T • APRI1. 1978 EDITION • AIA • © 1978 <br />THE AMERICAN INSTI1UTE OF ARCHITECTS, 1735 I.EW YORK AVE., N.W., WASHINGTON, D.C. 20006 <br />0703 --1973 <br />