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Docusign Envelope lD: 89144F8C-M3F-808F-836D-7E5D94EFF238 <br />-ll-'rI'rAN Project: Kittitas Jait <br />205 W Sth Ave <br />Etlensburg, WA 98926Et-EGTrirlcAl-l, <br />POTENTIAL CHANGE ORDER <br />TO: <br />contractor <br />Scott Carlson <br />Belsaas and Smith <br />FROM: <br />Subcontractor <br />Charles Espinoza <br />Titan Etectricat LLC <br />Date: <br />Change # <br />Amount: <br />lnitiated By: <br />Reason: <br />Type: <br />4t2012026 <br />8 <br />$48o.oo <br />Contractor <br />Scope Change <br />Additive - Lump Sum <br />CHANGE TITLE Matron Room Li Fixture PCOS <br />THIS CONTRACTWILL BE MODIFIED AS FOLLOWS: <br />Remove (1) existing 1x4 tight fixture and safe off wiring. Reinstatl tight fixture <br />Cost Breakdown This Change <br />Labor <br />Material. <br />Other <br />o&P <br />Total <br />$gzs.oo <br />$25.00 <br />$o <br />$80.00 <br />$480.00 <br />Authorized By: <br />Signature: <br />Print Name: <br />Titte: <br />Date: <br />CONTRACTOR <br />Accepted By: <br />Signature: <br />Print Name: <br />Titte: <br />Date: <br />SUBCONTRACTOR <br />Page 1 of 1