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Docusign Envelope lD: A8A88714-EAE8-8064-8123-71 ODBl F2CD3C <br />-Il-.TTTAN Project: Kittitas Jait <br />205 W SthAve <br />Ellensburg, WA 98926ET.ECTIiIICAL <br />U <br />POTENTIAL GHANGE ORDER <br />TO: <br />contractor <br />Scott Carlson <br />Belsaas and Smith <br />FROM: <br />Subcontractor <br />Charles Espinoza <br />Titan Electricat LLC <br />Date: <br />Change # <br />Amount: <br />lnitiated By: <br />Reason: <br />Type: <br />6t1112026 <br />I <br />$eeo.ao <br />Titan EtectricaI <br />Unforeseen Conditions <br />Additive - Lump Sum <br />PCOS Added in Vestibute E109E TITLE <br />THIS CONTRACTWILL BE MODIFIED AS FOLLOWS: <br />lnstatt (1) duptex receptacle in vestibute E109 from nearest existing power in ceil,ing space <br />Cost Breakdown This Change <br />Labor <br />Material <br />Other <br />o&P <br />Totat <br />$500.00 <br />$67.00 <br />$o <br />$113.40 <br />$680.40 <br />Authorized By: <br />Signature: <br />Print Name: <br />Titte: <br />Date: <br />CONTRACTOR <br />Accepted By: <br />Signature: <br />Print Name: <br />Titl.e: <br />Date: <br />SUBCONTRACTOR <br />Page 1 of 1