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Section 01600<br />

Page 3<br />

PROJECT: CENTURY XD12 – NAPA, CALIFORNIA #165582<br />

SUBSTITUTION REQUEST FORM<br />

Architect: Kip E. Daniel Architect cc:<br />

1807 Ross Ave., Ste. 500<br />

Dallas, TX 75201<br />

For your consideration in lieu of:<br />

Section # Paragraph Specified Product<br />

We hereby submit the following proposed substitution:<br />

Reason for proposed substitution:<br />

Product history: New Product 2-5 Years Old 5-10 Years Old More than 10 years old<br />

Manufacturer:<br />

Phone:<br />

Years in Business:<br />

Address:<br />

List at least three similar installations with the following information:<br />

1. Project<br />

2. Address<br />

3. Owner (Name, Address, Phone)<br />

4. Architect (Name, Address, Phone)<br />

5. Date Installed<br />

We have attached to this form:<br />

1. Technical Data for the specified product.<br />

2. Technical Data for the proposed substitution.<br />

3. Complete information on changes to Contract Documents required for the proper installation of the<br />

proposed substitution.<br />

Samples: ( are enclosed / will be furnished upon request.)<br />

List of other attachments:<br />

NAPA CENTURY CENTER XD 12<br />

#165582

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