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CHANGE ORDER <br />(inricuction� on rcvuse side) No. <br />PROIECT: DATE OF ISSUANCE: <br />OWNER; <br />(Name. <br />Address) <br />CONTRAC'fOR: OWNER's Project No. <br />ENGINEER: <br />CONTRACT FOA: <br />ENGINEfiA'c ProJeec No. <br />You are dirceted to m�ke ihe toilowin` ch�nQes in che Concrut Documenu. <br />Deseription: <br />Purpose oCCAsnge Ordtt: <br />AtUehmente: (List dOCLLUtentS supp0[lln{ elunge) <br />CHANGE IN CONTRACT PRICE: <br />0�`insl Contratt Priee <br />Reviou� Chanae Orden No. to No. <br />Contract Prieo priur to this Ch�n�e Order <br />Nee Increese (detresse) o[ this Char�e Order <br />Contrut Price wi�h all approved Chanae Orden <br />CHANGE IN CO\TRACT TIrfE: <br />Oripin�l Contnct Time <br />4r w d4 <br />Net ch�nae from yrovious Chao�e Orders <br />Coneraet Time Pcior to t6is Ch�n`e Otder <br />Nee lnercase (decrsue) o( this Chanre Order <br />4d <br />Conlnce Time with all approved Ch�nQe Onkrs <br />4nwW <br />RECOMMENDED: APPRO VED: APPROV ED: <br />bY rvwr bY O.wr bY Cwu.�r <br />FJCDC 1�0. 1910-8•B (198] EJitionl <br />