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Shank Constructors, Inc. APPLICATION FOR PAYMENT <br /> 3501 85th Avenue North Project: New Brighton WTP#1 -Chemical Upgrades Application Number: 03 <br /> Brooklyn Park, MN 55443 Shank Project No: 1256 Date: 06/25/13 <br /> Period From: 04/26/13 To: 06/25/13 <br /> A D E F 1 G H I 1 J K L <br /> Work in Place Stored Material Total <br /> Item Total Amount Total Amount Total Work& % <br /> No. Description of Work Scheduled Previous Installed Work Previous Stored Stored Stored Comp. <br /> Value Payment This App. in Place Payment This App. to Date to Date <br /> 1 2"Comb.Air Valves on Iron Filters 8,000 8,000 8,000 8,000 100% <br /> 2 Comb. Air Valves on Misc. Plant Piping 2,800 2,800 2,800 2,800 100% <br /> 3 Press. Reg.Valve on GAC Backwash 10,000 10,000 10,000 _ 10,000 100% <br /> 4 14" Backwash Manifold Valve 3,000 3,000 3,000 3,000 100% <br /> 5 Backwash Pit Float Supports 4,000 4,000 ' 4,000 4,000 100% <br /> 6 Fluoride Room Modifications 11,000 11,000 11,000 11,000 100% <br /> 7 Chlorine Equipment Modifications 19,000 19,000 19,000 19,000 100% <br /> 8 Potassium Permanganate Modific. 16,000 16,000 16,000 16,000 100% <br /> 9 10" Flow Meters In WH 3,4&15 24,000 20,400 3,600 24,000_ 24,000 100% <br /> 10 Fridley Booster Pump Station Modif. 40,800 40,800 40,800 40,800 100% <br /> I- <br /> Change Orders <br /> CO#01 $ 1,500 1,500 1,500 _ - 1,500 100% <br /> Change Order Total $ 1,500 <br /> $ 140,100 $ 135,000 $ 5,100 $ 140,100 $ - $ - $ 1 $ 140,100 100% <br />