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0 Washington State Department of <br /> Labor & Industries <br /> Prevailing Wage Section-Telephone 360-902-5335 <br /> PO Box 44540,Olympia,WA 98504-4540 <br /> Prevailing Wage Affidavit <br /> Document Received Date:4/5/2019 Intent Id:969914 Affidavit Id:852343 Affidavit Status:Approved <br /> I i <br /> Your Company Information <br /> Combined Construction Inc UBI:603119 288 <br /> 4493 RUSSELL RD Reg#:COMBICI893NT <br /> MUKILTEO,WA 98275 Email:ajscci@gmail.com <br /> Filed By:Smith,Kyle <br /> Workers'Compensation Account ID 216,146-00 <br /> Project Information <br /> s ' <br /> Awarding Agency Name EVERETT,CITY OF tt <br /> Awarding Agency Address 3200 CEDAR ST EVERETT,WA-98201 <br /> Awarding Agency Contact Name Theresa Bauccio-Teschlog <br /> Awarding Agency Contact Phone Number 425-257-7023 <br /> Project Details <br /> Project Name 1832 Chestnut St.Phase II <br /> Counties Where Work Was Performed Snohomish <br /> City Where Work Was Performed Everett <br /> Apprentice utilization is required No <br /> Project Site Address or Directions 1832 Chestnut St.Everett,WA <br /> Project Description <br /> Prime Contractor Name Combined Construction Inc <br /> Prime Contractor Registration Number COMBICI893NT <br /> Prime Contractor UBI Number 603 119 288 <br /> Prime Contractor Phone Number 425-610-4334 <br /> Prime Contractor Intent form ID#for this project 969914 <br />