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<br />ADDITIONAL WORK AUTHORIZATION <br /> <br />400 9th Avenue South <br />Safety Harbor, Fl 34695 <br />1 ,800-446-1 620 <br />FAX (727) 726-0697 <br /> <br />BURNS <br /> <br />IN'TAR" <br /> <br />S E R V I ( E S G R 0 U P,NC <br /> <br />Pinellas <br />(727) <br />726-3204 <br /> <br />Pasco <br />(727) <br />847-0464 <br /> <br />Hillsborough <br />(813) <br />223-7918 <br /> <br />Sarasota/Manatee <br />(941 ) <br />756-6004 <br /> <br />OWNER'S, . / <br />OIIAME . ele/lJ <br /> <br />STREE:.:? <br /> <br /> <br />PHONE <br />58'..>- 7] 7-' 7 j-,f <br /> <br /> <br />JOB NAME <br /> <br /> <br />JOB NUMBER <br /> <br /> <br />STREET <br /> <br />DATE OF EXISTING CONTFlACT CITY <br /> <br />STATE <br /> <br />You are hereby authorized to perform the following specifically described additional work: <br /> <br />~e/J?lW'{, <br /> <br />.3 "ki <br /> <br />5J~/~.5 <br />;; n-J ,6.elL / A/( J ~ <br /> <br />q, <br /> <br />,r;, /;- <br /> <br />j( e .p IIJC e.. <br />, <br /> <br />W/~ <br /> <br />j) , <br />/~eNS/ONPI <br /> <br />SJ'^'9~5 <br />/ <br /> <br />:JJ 3 7 S- e! <br /> <br />, <br /> <br />ADDITIONAL CHARGE FOR ABOVE WORK IS: $ <br />Payment will be made as follows: t,../.lt,ll/ t-J (K):J t!t9~k k <br /> <br />Above additional work to be performed under same conditions as specified in original contract unless otherwise stipulated. <br /> <br />Date <br /> <br />20_ <br /> <br /> <br />(OWNER SIGHS HERE) <br /> <br />We hereby agree to furnish labor a <br /> <br />in accordance with the above specifications, at above stated price_ <br /> <br /> <br />OBl.#fE <br /> <br />Authorized Signature <br /> <br />THIS IS CHANGE ORDER NO. <br /> <br />NOTE: TIIie _ _ '*' aI. _In ..0.010..._ will, ....-..no-- <br />