Title Page

  • Document No.

  • Audit Title

  • Conducted on

  • Prepared by

PCR

  • LOT #

  • PLAN NAME

  • ELEVATION

  • SQUARE FOOTAGE

  • DESCRIPTION OF REQUESTED CHANGE

  • Is marked up plan attached (Include quantity calculations if applicable)?

  • Does change apply to all plans?

  • Is PO attached?

  • Have quantities been field counted/verified (If applicable)?

  • Has trade been consulted about requested change?

MATERIAL(S) TO BE ADJUSTED

  • Material

  • Material

  • Material

  • Material

  • Material

  • Material

  • Material

  • Material

  • Material

  • Material

EXISTING QUANTITY

  • Amount

  • Amount

  • Amount

  • Amount

  • Amount

  • Amount

  • Amount

  • Amount

  • Amount

  • Amount

NEW QUANTITY

  • Amount

  • Amount

  • Amount

  • Amount

  • Amount

  • Amount

  • Amount

  • Amount

  • Amount

  • Amount

  • COPY OF PLAN AND PO

  • SDH EMPLOYEE

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