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CHAt1GE ORCEk q / <br />Gwnec: •./�,7 �'�,Qyk'E Contract Date: <br />Address: �Zo➢5 STATF Today's Date: 7 �� �,S <br />Contractor is hereby authorized to perform the j following, <br />specifically described additional ioork, or work reductions or <br />omissions• <br />�pDrT�o <br />/ /ns{�//nsw7�7b/�iuQ �,�5�,a�r �nid; �'��c:�dss tu� r<au r��`t �y7�.�r <br />� �. <br />Z. /,�St�/%"a,asfrc rahf� /�c�►�ry in /.�fii��r ��or�� �ukl/ /25.�0 <br />i���d�H �t����� . <br />3./nsf.�/��'s� f{�r,Ei�rl � s�hk fo rvot ovhi�/� �ausQ � �a�.�+ <br />�1Yu/o�i ik¢ JZ�� / <br />'�. �.�c¢ 5¢lutrp� cr1q�,'.Y' �0!/52 -�/GWl K�T�f � ,r��cHa.�1 7a ��.OG <br />C�1� �/�' /H ,dc.'G� ydYd � . <br />3. �O� -��r �c. {�-.b�fin„ G�o� ih aa�v�v P�� . �{9. �o <br />Z�Ducn� : <br />l. O � p� ias,il�i� in cr�wl <br />ND Cff.MvC� � <br />/. !7al¢fa �/yw�o�% on tuZSi' sia�ao� `iar�s¢ /�l� ���e �l <br />�adc �'e►^ ins�e/%o �dditiorz! 3v�,-t .� �o's�u�a� Zx � <br />/'-�C�f¢.s w/ �fxtj ,(a�ch, ¢ �li�ia�l ZX9 c����orf�. <br />Z. /Ms�// I�2w fl/G cu�Y�" IYk%H �� {�'� ���ercf� f/'��¢ fo!' <br />d��,� �,�t;�r � �.w ��- ,��;� �� ti�. <br />itl�T �vbTot.9z. <br />� n <br />/UEi A9�r7?oN <br />� 9'7y/. so <br />. 7(�. � / <br />j 0�0.5/ <br />Amount of Original/�ewiei Contract: $_ /,3 �] �Q, S� <br />Amount of this Change Order: $ /D'i0. S/ <br />Amended Contract Total: $/c� �� /. � Z <br />! <br />I(We) hereby agree to furnish labor and materials complete in <br />accordance with the above specifications, at the above stated <br />price. This revision becomes part of, and in conformance with the <br />existing contract and additional work is to be performed under the <br />same conditions as the original contract unless otherwise <br />stipulated in writing. <br />Contractor's Signature Date — <br />Reviewed and aFproved by Housing Improvement Inspector/Advisor and <br />Property.Owner. „ <br />�� <br />natuce <br />Property Owner Signature <br />r Signatur <br />/ / // !/c� 7 <br />Ga e � <br />Date <br />te <br />