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CONT[NUATIO 1 SNEEIT AIA DOCUMENT C703
<br />AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing
<br />Contractor's signed Certification is attached.
<br />In tabulations below, amounts are stated to the nearest dollar.
<br />Use Column I on Contracts where variable retainage for line items may apply.
<br />rnc. (F 32 • PAG[,
<br />APPLICATION NUMBER: 21
<br />APPLICATION DATE: 12/30/81 CO
<br />PERIOD FROM: 12/10/81 •
<br />TO: AR•
<br />12,/3 /81 CITECT'S PROJECT NO• 36
<br />H
<br />AIA DOCUI.:�NT Gr03 CONTINUATION SHEET • APRIL 1978 EDITION • AIA • O 1978
<br />THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, D.C. 20006
<br />G703 —1973
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<br />D
<br />E
<br />F I G
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<br />I
<br />ITEM
<br />DESCRIPTION OF WORK
<br />SCHEDULED
<br />WORK COMPLETED TOTAL
<br />No.
<br />VALUE
<br />;
<br />COMPLETED
<br />This Application AND STORED
<br />°,'
<br />BALANCE
<br />RETAINAGE
<br />Previous
<br />Applications
<br />Work in Place
<br />Stored Materials ` TO DATE
<br />(not in D or E) (D+E+F)
<br />(G±C)
<br />TO FINISH
<br />(C—GI
<br />o
<br />ROOF &FACIA
<br />jF
<br />f
<br />050
<br />064
<br />NEW OPENINGS HI ROOFS
<br />500.00
<br />500.00
<br />500.00
<br />100
<br />50.0C
<br />051
<br />065
<br />WEST
<br />NEU OPENINGS LO ROOF
<br />500.00
<br />500.00
<br />500.00
<br />100
<br />50.00
<br />052
<br />065
<br />PREP FOR ANTENNA
<br />2ND LEVEL .
<br />500.00
<br />500.00
<br />500.00
<br />100
<br />50.00
<br />053
<br />057
<br />REMOVAL LO' ROOF
<br />EAST
<br />5,000.00
<br />5,000.00
<br />5,000.00
<br />100
<br />500.00
<br />054
<br />059
<br />NEW OPENINGS LO ROOF
<br />EAST
<br />1,000.00
<br />1,000.00
<br />•
<br />1,000.00
<br />100
<br />100.00
<br />055
<br />068
<br />REt10'JE LO ROOF WEST
<br />1,500.00
<br />1,500.00
<br />1,500.00
<br />100
<br />150.00
<br />056
<br />070
<br />REMOVE P' HOUSE WEST
<br />WING
<br />2,500.00
<br />2,500.00
<br />; 2,500.00
<br />..
<br />100
<br />250.00
<br />057
<br />071
<br />NEW OPENINGS
<br />WEST WING '
<br />500.00
<br />500.00
<br />500.00
<br />100
<br />T
<br />50.00
<br />058
<br />072
<br />tj .
<br />REMOVE C TOWER, ETC.
<br />5,000.00
<br />5,000.00
<br />) 5,000.00
<br />100
<br />500.00
<br />059
<br />073
<br />REMOVE ELEV. ROOF NO.
<br />5,000.00
<br />5,000.00
<br />R 5,000.00
<br />100
<br />' 500.00
<br />060
<br />084
<br />NEW OPENINGS ELEV.
<br />ROOF NO.
<br />1,000.00
<br />1,000.00
<br />€ 1,000.00
<br />100
<br />100.00
<br />061
<br />074
<br />!•1. S. TO FACIA LO EAST
<br />EL NO.
<br />2,000:00
<br />2,000.00
<br />P '2,000.00
<br />100
<br />200.00
<br />062
<br />076
<br />WING WALLS NE CORNERS
<br />1,000.00
<br />1,000.00
<br />1,000.00
<br />100
<br />i
<br />' 100.00
<br />PAGE TOTAL
<br />26,000.00
<br />26,000.00
<br />26,000.00
<br />2,600.00r
<br />TOTAL OR SUB TOTAL
<br />05,850..00
<br />105,850.00
<br />105,850.0010,585.00
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<br />AIA DOCUI.:�NT Gr03 CONTINUATION SHEET • APRIL 1978 EDITION • AIA • O 1978
<br />THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, D.C. 20006
<br />G703 —1973
<br />LI—
<br />!�1
<br />
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