|
(UNtiiNUAeiON 51-TEEu
<br />A171 DOCUM NT G703
<br />32 r Al
<br />AIA Document G702 I PPLICATION,AND CERTIFICATE FOR PAYMENT, containing
<br />Contractor's signed Certification.is attached.
<br />In tabulations below. amounts are stated to :he nearest dollar.
<br />Use Column I on Contracts where variable retainage for line items may apply.
<br />APPLICA HON NUMBER:
<br />APPLICATION DATE:
<br />PERIOD FROM:
<br />•
<br />10:
<br />ARCI i(1 EC1'S PROJECT NO:
<br />, 21
<br />12/30/81.
<br />12/10/81=
<br />12/31/81/t�•4�
<br />9363 `/J
<br />A
<br />AIA
<br />B ; C
<br />D.
<br />E
<br />F G
<br />W
<br />HId
<br />ITEM
<br />DESCRIPTION OF
<br />WORK COsIPLETLD -UTAL CC)mPlf IED
<br />No.
<br />WORK SCHEDULED
<br />i VALUE
<br />This App icatirm AND Slr)REU
<br />BALANCE E ' t'r
<br />TO FINISH
<br />•
<br />Previous
<br />Applications
<br />Work in P.acc
<br />TO DAZE
<br />Stored titaten;'S U+CF)
<br />(not in D or E
<br />{C. CI
<br />IC L.
<br />AREA FFDD
<br />400
<br />401 REMOVE SALVAGE I 2,500.00
<br />2,500.00
<br />!
<br />2,500.00 100
<br />250.001
<br />401 -.Yr?
<br />402 REMOVE SALVAGE II 2,500.00
<br />2,500.00
<br />2,500.00 100
<br />250.0:
<br />401
<br />403 DEMOLITION: I . 11,000.00
<br />11,000.00
<br />11,000.00 100
<br />1,100.00:
<br />4 Q13
<br />4094 DEMOLITION 'II ': 11,000.00
<br />11,000.00
<br />11,000.00 100
<br />1,100.09
<br />405 M.S. PARTITIONS & CLOSU:'ES 5,000.00
<br />5,000.00
<br />5,000.00 100
<br />500.0;
<br />403 E/M ROUGH -IN UNDER
<br />406 CONC. FL.. ' 3,000.00'
<br />'WALLS
<br />3,000.00
<br />' 3,000.00 100
<br />200,0,
<br />403 MASOF,RY AND
<br />407 CCOSIJRES ": 7,500.00
<br />7,500.00
<br />-■
<br />I 7,500.00 100
<br />750.00.
<br />403
<br />411
<br />PATCH & REPAIR INT. I
<br />SURFACES 30,000.00
<br />30,000.00
<br />30,000.00 00
<br />3,000.00,
<br />405
<br />409
<br />E/f'1 ROUGH -IN ABOVE
<br />FLOOR 1 i 15,000.00
<br />15,000.00
<br />15,000.00 100
<br />1,500.09
<br />405
<br />410
<br />M.S. PARTITIONS & CLOSURES
<br />II .. 6,000.00
<br />6,000.00
<br />6,000:00 100
<br />600.00
<br />406408
<br />PATCH CONC FLS 3,500.00
<br />3',500.00
<br />-■
<br />3,500.00 100
<br />350.09
<br />409
<br />412
<br />GYP PD TO IfALLSI 7,000.00
<br />7,000.00
<br />' 7,000.00 00
<br />! %00.09;
<br />409
<br />413
<br />E/M ROUGH -IN ABOVE
<br />FLS II : 16,000.00
<br />16,000.00
<br />16,000.00 100
<br />1,600.00
<br />PAGE TOTAL 120,000:90-
<br />70-,-0-0D.00
<br />120,000.00 _
<br />• 12,n00.02:
<br />TOTAL OR SUB TOTAL 1,712,500.001,711
<br />1,500.00
<br />1,712,500.00 ■
<br />171,250,0
<br />AIA DOCUMENT G703 • CONTINUATION SIIH.T • APRIL 1978 EDITION • AIA0 • © 1978
<br />THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 *.EW YORK AVE., N.W., WASHINGTON, D.C. 20006
<br />G703-19
<br />
|