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CHANGE ORDER <br /> GM CONTRACTING, INC. � <br /> O. BOX 736 <br /> �AKE CRYSTAL, MN 56055 <br /> f'ROJ�GT: Genterville - CDBG Water Servioes <br /> PROJECT hlUM�ER: Dafe 11l19l2010 <br /> i <br /> WORK ORDER 1 1806 Mairs Slreet Air Teslirtig <br /> Item Quantity UNIT PRICE EXTENStON <br /> This wak order is tor extra work Ihat was done on the property of 1806 Main Sfreet ft was kund thai the <br /> water service on thls proparty had already been stubbed into the house and was instelled up ta the curb <br /> stop, ft �ust was not connected to the curb stop. Beceuse lhis line was fnataUed prior to thia project it was <br /> re�uesled that the service line be tested to ansure that it was in good shape b�tore we cwmected it to the <br /> ourb stop. This work wes not part o( the originaf conUact and will need to bo peid #or by change order, <br /> Crew Labor and Equipment 0.5 NR $595.00 297.50 <br /> TO7AL 5291.50 <br /> GM CONTRACTMG <br /> ENGINEERIItVSP£CT�R CONTRACTOR OWNER <br /> PO 60X 736 <br /> ADDRESS AODRESS ADDREBS <br /> LAKE CRYSTAL MN <br /> ' SIGNATURE S16NATURE &ICiNATURE <br /> DATE DATE DA7E <br /> . <br /> P59 <br />