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From: Precision Industrial Constructors, Inc.
<br />1395-D Downriver Drive
<br />Woodland, WA 98674
<br />
<br />U~TION SHEET
<br />~,Contractor's signad Certltlatlon Is auached. ----._.._ .............,... ~,,,,,.~~~~~~~
<br />'.In labulallons be{ow, amounls are sta~ed lo the nearest dollar.
<br />Use Col~mn 1 on Conlracts where wriab(e retainage for Ilne items may apply.
<br />Paqe 2
<br />Project: Salem Courthouse Square Project
<br />Asbestos Abatement & Demo
<br />A/A DOCUMfNT G703 (~nstrucUons on reverse s;de~ wa;c or n.cts
<br />i~~4~,. ~ APPLIGTION NUMBER: O3
<br />AYPlIGTIOtJ DATE: 5-5-97
<br />PEAIOD j0: 5-4-97
<br />ARCH~TEG7'S PROJECT NO; ~ ~
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<br />TOTAL'
<br />X
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<br />PR FTAINAGE
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<br />• FROM PRFVIOUS
<br />MPLICATION TH15 PERIOD ESENiLY
<br />SfORED COMALETED
<br />AND STOREO (G~ C) 70 FINlSH
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<br />-.+ ' y (D+E) INOT 7k
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<br />D OR ~ TO D/~TE
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<br />(D+E+F) ~
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<br />4B~~ '.1 Mobilization/Prepaymen 23,000 . 23,000 0 23,000 100 0 0
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<br />. ~~-tY ~t~' 30, 718 30, 71$ 0 30 718
<br />. 100 0 1, 535.90
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<br />_ Goodman Building 13,706 13,706 0
<br />13, 706
<br />100
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<br />' 4 , Beri Building 4,502
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<br />. 4,502 0
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<br />100
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<br />225.10
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<br />16,144
<br />10,493.60
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<br />10,493.60
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<br />65
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<br />5,650.40 .
<br />
<br />524
<br />68
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<br />tis; . 6• Goldbex'g Bui-lding 16,204 0 76,204 16
<br />204 100 0 810
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<br />' 35,480 0 35,480 35,480 100 0 1,774.00
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<br />"`~' ~'~ 3 27, 767 0 27, 767 27, 767 100 0 1, 388.35
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