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PROJECT CONTRACTOR ARCHITECT

PROJECT NO. CONTRACT NO. DATE

FIELDINSTRUCTIONNO.

If a Change Order is contemplated, fill out and check boxes as appropriate: Estimated Cost: Cost Basis: Lump Sum Time and Material
Prepared by:
Signature and Title

Date:

Copies to: Project Manager/Construction Inspector Architect Construction Administrator Contractor

If a Change Order is contemplated (or this is an item in dispute), this


instruction shall be authorized by the Construction Administrator.

Authorized by:

Signature of Construction Administrator

Construction Mgmt. 702.22 10/06

Date:

CC:

ARCHITECT/ENGINEER PROJECT MANAGER/CONSTRUCTION INSPECTOR UNIVERSITY

CONSTRUCTION MANAGEMENT 703.24 12/94

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