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Affidavit of Wages Paid <br /> ,y�-. Ll i'1 d C. ( t u Page 1 of 2 <br /> 11as-7LI5- y93 - <br /> Prevailing Wage Section <br /> • Department of Labor 8, <br /> Lt Q I AN0 I Affidavit of Wages Paid Industries <br /> • INOUSTRIUS;, " ` PO Box 44540 <br /> Olympia,WA 98504-4540 <br /> Received: Affidavit Id: • Status <br /> 12/08/2008 200322 Approved on 12/08/2008 <br /> COMPANY <br /> Company NORTHWEST SHEET METAL <br /> information: NORTHSM952QZ. <br /> 602 519184 <br /> 098,493-00 <br /> 9800 HARBOUR PLACE#114 <br /> MUKILTEQ, WA 982.75 <br /> (425)672-6898 <br /> Payment Type: Electronic <br /> Signaturee:any Electronic <br /> PROJECT <br /> Public Agency: EVERETT,'CITY OF/FACILITIES <br /> 3101 CEDAR ST <br /> EVERETT,WA 98201 . <br /> County: SNOHOMISH Multiple Counties?No <br /> City: Everett <br /> Project Name: Everett SeniorActivity Center Exterior Renovations <br /> Contract Number: <br /> Date Intent Filed: 04/25/2008 <br /> Bid Due Date: 02/12/2008 <br /> Award Date: 03/06/2008 <br /> Date Work <br /> 09/30/2008 • <br /> Completed: <br /> Prime Contractor; T C M GENERAL CONSTRUCTION <br /> TCMGEC* 93J6 <br /> (425)742-8104 <br /> Did Your Company <br /> Hire <br /> Subcontractors To <br /> Perform All Work?No <br /> Did Your Company <br /> Hire Any <br /> Subcontractors? No <br /> $Amount: $20,953.00 • <br /> Number of <br /> Owners/Operators <br /> Who Performed <br /> Work: <br /> Did your company. ': . <br /> have employees <br /> perform work on . <br /> this project? Yes <br /> Flied by: Jana Miyamura <br /> EMPLOYEES' WAGES <br /> hops://secureaccess.wa.gov/lni/pwia/Aff'idavit/AffidavitPrint.ap?ID=200322 12/8/2008 <br />