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ASLS 80-61 UGAK BAY - Property Card■ Owner / . 1 Z)/tf i6-67 . a4 re' Moiling Addresi x 99,4 46r- Permits ZCir ,-OP?- ll/lllc loll' X45'LOD,f. Dote Built #611/046 71r5I q- ii(pgonb AKR Property Address Observed Physical Condition Exterior Interim Foundation BUILDING TYPE AND USE 4. EXTERIOR f 6. INTERIOR (Continued) 7. Floors (Continued) — Single _Double ,Other _# Stories _Attic Finish _Basement - Frame. _Concrete Block —Log 1. FOUNDATION U - Concrete Thick ___..Conc. Block —Wood Post; _Skids _Wood Sills Concrete —Sheathing Building Paper Insulation . _Kind —Stucco S- iding Kind __Shakes — Bricktex — Log Stab __._.Log Siding m- etal __Plywood Block Kind Trim _Kind Grade _P __.A G Floor Number Rooms Number Baths Basement lit Floor 2nd Floor FINISH Wood Concrete Bath Living Room Bed Room 3rd Floor 8. HEAT Attic Total # 5- ROOF i BASEMENT L1 _Partial �x__ S.F. Full . Gibbed ,Concrete _Outsid• Entrance — Rec. Room _Living Area _Fin Walls_ _Fin Floor Fin Ceiling ;SAME Size Size Kind K ind Kind Walls o c Bracing Roof o c Floor n c ceiling o c Other __._Flat Other Shingle Shakes Composition # ,Shingle ____.Insulation Kind _Tar Paper uetol Kind —___Built -up —Other Goble —Hip Kind 6. INTERIOR [ insulation Board __ Plasterboard _ - Plaster __Masonry Wood Paneling Plywood _Finished - Unfinished —Open Stud Grade of Floor Plan __P _A —G Ceiling Height Basement Floor —2nd Floor _Attic Grade of Kitchen — P _A —G Oven Built -in —Range Built -in G. Both Room Finish ,Attic Stairway _Attic Unfinished Attic Useful Number Dormers Shed Type . — Size Gable Size —Stove —Oil Furnace Cool Stoker _Hot Water _Hot air Forced Radiant — _Space Heater _ Kind __Floor Furnace Number of Chimneys —_Kind NUMBER OF FIREPLACES Basement _1st Floor Type_ 9. PLUMBING (Continued) _Water Source Sewer Source 10. ELECTRICAL Wired —_220 Service Grade TOTAL GRADE 11. GARAGE J 9. PLUMBING 7. FLOORS —_V Tubs - -w /shower # Toilets # Basins _# Kitchen Sinks _# Shower Stalls_ _# Hot Water Tanks # Gallons Kind 1st Floor o c Bridged Post Size o c Beam Size o c 2nd Floor ._ o c Grade 12 PORCHES 13. YARD IMPROVEMENTS ___, —# Laundry Trays — _Totol Number Fixtures Grher Buildings Area Floor Roof Interior Heat Plumb Unit Cost Adds & Deducts Real. Cost Age Condition Building Cost BUILDING VALUE CALCULATION OPERATIONS AND PROCEDURES BUILDING AREA CALCULATION` Item No Area or Quantity Unit • Cost Total Inspection Classification Performed By Date Square Feet — Ground Area Floor or Part Width Length Area Calculation Review DEPRECIATION AND OBSOLESCENCE DEPRECIATION ADDITIONS AND DEDUCTIONS a. Effective Age Depreciation 96 Notes: b. Observed Physical Condition c. Totol Depreciation (a 4 b) Perimeter Scale 1/4" - Ft. d. Net Condition (100 - c) OBSOLESCENCE e. Overi mprovement f. Underimprovement g. Other h. Net Condition (100 • (e+ f +9) 1. FINAL NET CONDITION (dxh) SUMMARY OF APPRAISED VALUE Principal Building Appraisal Other Principal Buildings Appraisal Accessory Buildings Appraisal To al Replacement Cost Total building Appraisa! Cost Conversion Fodor Total Land Apraisal Adjusted Replacement Cod TOTAL APPRAISED VALUE _ KIBS215942 Other Description: Size: pip 1 f ,9 Area: 1f $41)- AC Use Zone: k Valuation Code: Land Use: • VAC,- Unit Price: r • `. . INFLUENCES: PLUS MINUS Depth Topography Irregular Modification View Drainage Physical Barriers Access Corner Water Sewer Sidewalk Paving Curb & Gutter Other TOTAL Net + ( —) Year of Valuation: =./)/)?) — J Basic Land Value 2& ,2 /1 / Plus or (Minus) F ctors Net Price of Land Remarks: A OL - t/34' P'/ ."3 /a-� -- f i 43o i01.477-• LAND VALUE YEAR O ct.; A ASSESSED VALUATION R REASQN Land B Bldgs. T Total F ,� r � � - 6�ii � �i/ e r - --� ` ` 41, ' '' 00 • g 0 • • ;c) P Ih /i; R R�//}}�. i , ' -. � �l� - -- , ,,r C iil Y YI T 1 �. � �' i - -2q too `Cl ! !t00 - -- 1 1 o /9!? A A C/, sad/ L ors di/7-7._ s.e .64: , ,y a E Ellia`I / /vo . ... B•: PGaa- r rz-r -x9 << << r • • • - -43- -43- 3 3s a0_0 /`, PLACE PICTURE HERE KIBS215940 OWNER LAND IMPS TOTAL BK-PG.DATE Kodiak Island Borough Results Map Content• F KIR So r Water Features d r Labels W F Streets W F Parceh • F piss - P Background Imagery • KIB Boundary • bn Imagery • let imagery • 4m Imagery • 711 Imagery • Im Imagery • Shapes F Background • F coastline • F Borough Boundary n Page 1 of 1 ESRI ESRI Support Canter Help apnea m® ALA �,. 31 5 '1 2 3 V✓ 416tiog http: / /gis.kodiakak.us/KIB/ 10-4 G3a 10 /11 /2010 4 3 PROTRACTED SECTIONS 10 and 15,T, 31 • S,R,23W,S.M,,ALASKA 7KROIFW towlalcnpl /4 211 10.134144'11 1- 41'46'00.40 • WOW 9 I0 C•31361. 4.0( 14.46'0446'• 312 MR Ca Iv 10111 Gasp. p0' 9 10 16 5 16 15 lak 01.077 072+00101 .0'4014'5 nod W 01'1000 Co w 21 22 H, wed, 41x.01 810054 IASIM MC►NIDER3 1. a 470 10' 17. 4, 1. 4 400 13' 10• ■, 3. 1 470 00• 51. 0. 4. 6 470 CO' 77' 3. S. S 710 00. 10• •. 6. 8 OW 54' 1S• 5, 7. 3 40• OS' 02. 0, 0. 3 480 05' M• 0, 9. 4330 W' 11• a, 10. 41 300 18. 472 G. !Hoed 41. 61'10'80.367 1 44 145.36'7.460' • B s� 214.10' J 114.14' 003.10' ! 6.30' T•4R 114.00' r•AI.3. 527.11' 51.14' 76.16' 466.54' 331.30' 179{.71 FAN* W 194410•5084 118.8 0.2. 11130) 14. 17'60'14.41 • 1w4 4!36'!70•0 1 7 rmearnA 5.. iNP .. ON:aaV .367 6A4.0d •1101, .. ...1"' ' ■0. MOO 447.00 14' 1 I 1 NOTES I. TW arm .M 17. x 48.04.•02 NS mi 11 00.4 304520•.00.017. 0. Nags N 0•.Iw. - Naar.. as Wlwaw .x *Imo Wa w 78x4 16 . Vow W 4•151 of 1 01001'4'[ 881a. 41.11.5. • •1. T,I..w12114. i,. ..'0 if 4235. 6201 304'43146[ ). 1m . N C.ngx +M.l. LLSC6 Inn 14 -7,01,0 Nxla 700'0.1: • T4 4••••• 01316 m 130.404 4 10. sop ar41 3012+ tam.. • N 74 mat .Awn 4 w Is ••11.4 4444N• •2+4 4 141 4 114,8, 514! I4 Was 11106 •.. 1..08 •1 11440• 1•2 Tr 412.1 monism •1 16. 4..r r4 0a4 MY i bw8S.8,.07• N 30 N.Y. 14 44,0104• 230 •4 an.. x06 ▪ 4.20*? 30.30NN300 W MI. •,Ir, r n 5114 M m omoten 41 140 Imt dx 'a 14.** .1 too uoronmo Nx I4 304.1 ,00.30•.. 1. an ' 41.2.074 0..2,014 IRO) • • II/a' me. .Mgr.. w .o..w.1• 28 Ye ea r 30'114. x30.. ▪ 74 448.,07* [..w 242444108.... x 8x42 2.4x•1, la 41 r. .N 4 r1.1 IM roam .• 1x41, •••.. 4 T4 .117. 8*.*1 - 4..20 •I.....I .. 40.10. 6,0x•7 * I .221 44...4 of wl'4 1x.11101 as 10. N. Nw ' 00 ,2001 ,a 4 a7 Wt. x0(22+ ..4m .MO .. 30,0,0 et we MI N 11.44.62 . u 74 0111 204 mom w• 1. 4'4 41..30 MINN Not .row. 201 22. x1..7. r =NON 81 NA,/ 8WIO.N.N.1MW 60000. Iola NINNY Ws 11MM M41w 2..00 ANN 4 . WNW 30001, 07 400.1 ~ 1.dMM.rx. N r -04 YIN 300 6 Wx MIN 242.4 1140 A1. 460.09. V4 PpTAFi 1st. 5 Y f.4 . 510 16' '1.3 • 4 .I q, 1360 30• 8,50+' • .1.111.11111.- e 446.0. 0014,0 ANa.w x4..0....1+0 Y 40 45, 110' N.•, se 440. 211.. x. 42.30.5 ® UO.C.• Gs Tn....N1x. )140,0 x.07,04 a• /as./ (11 U C.O • C Tn.y3xn..N0% 11.0.24.• mewl. r....,1 w w 4 • 1 14 ® rr A41r- +rr 4.2.241 r w 5248 1411 8 15 14 r+ 80+7101 00.194.046• 40( ma' 46')41360•• TYPICAL MONUMENT MARKING SELECTION INFORMATION G 7411 44141100 860 T penn�7fa116* Approval Mtad 0�4Qr 12 -3 -33 jar '/��_ M11,,'4.3 'yy���} . b 011[- y4.LL_ _e_N - ALASKA STATE LAND SURVEY No. 80 -61 all 9 -aie1� I AS PROVIDED BY A S ]0.08.077) TYPICAL REFERENCE MONt16ENL •OI a8r 7 22 SURVEYON'S CERTIFICATE 1 63,57 4r1O5 Mal 1 24 44,017 •,131474 200 84446 to 40+714 1434 0erra7vn4 a 440 2401, of 40.14, and root 4442 0101 1444461. a w7w5 5e46. 05 043 4 .44 45 4476+? 41■+1•145, 004 IM .0,0.077• shown 1307..2 431,0113 .24+ 46 44.+,140, .n4 Me ell Oman.. 004 al1r4•- 444 040 Carol. 8121-7'25/y /faa 4,• • " 41. -�C'/ 1" 41•.••■ E�t 1,141111 -• 761,0. ar ��r � ! •�' UMl 307 • 04 36 VICINITY MAP 00 10 7480 from 0..Ya Qad XMAS B-5 Otl G8 Scar 11261.1469. OWNERSHIP CERTIFICATE I.1x.00440x4.4.0( OMx7 x51 I w M 07477 01510x. al 784x400 3rdc08, 8d 404 r4 51274 of A2x4 x 7. .0x47 of *618 30-41 Oman swoon I mr.03 444• Mx Oros a4 plat m Sb1O ef�}I to •7 -8L // V, 41..,82■.7.0 raw« r1•1 NOTARY'S ACKNOWLEDGEMENT 5004.1000 Ono 4000, 10 3644 1.0 414 7D do3 of Aar. -�a+ 19Q-C: 4r, 107 1x4.4 /g- /!0dS� Y/ G...N4.• G.•■••• LESSEE CERTIFICATES I , IM 04.21,04, 27406 C.r1'rl7 1m1 200.0 04.00. I 644. 444..x0. • *OL 30.33434 1 am M. 1 ..... 4• and 3101. V, 40 NOTARY'S W.. ACKNOWLEDGEMENT 3.4410.0 •34 .•g. 4 Sego r 1688 r*'t.9 3 it 41.404 1.002 I.ILI.LOO 1411 ./4110.11 M Ostied [.4 6011 w..o Wor. II OF G4s,0 ter, • 512041 U.• 10.1..0.0•0404 *Pm f•' "1 4a7 04 ORE OF SURVEY 40+.2.• 12+07 NAIL OF AM61YON M 08000 60.4044 11410, *W 1416 STATE OF ALASKA DEPARTMENT OF NATURAL RE801ATCES DIVISION OF TECHNICAL SERVICES 4,1011711AK AMNIA ALASKA STATE LAND SURVEY No. 80 -61 197.1.1 PROTRACTED SECTIONS Mend 10,134 8,8.23 r;a1L DRAIN m 8*► 387446 30-- 60.1 111, 300' [nu N. 80-61 ;j7JC1(. , 41 9WAS Property Review Worksheet PID: ko U19 Owner. LiL4 g Permits: Yes ❑ No ❑ If yes, what is the permit for. Improvement 1' /t utof Foundation: .O = # of Stories: Roof: Siding: Windows: Wood Stove: Yes Condition: Other Details: No ❑ Decks: Yes ❑ No ❑ How Many: Shed /Acc. Bldg's: Yes ❑ No ❑ How Many: Address: TJ15 0 2.3 Legal: TL I 005 Date: 6I2A �Z As q3,0k, I -1 () ddyr\ &I/J4" Land Topography: Road Access: beteL View: pteeital'' Ocean Front: Yes 7 \ No ❑ Flag Lot: Yes ❑ No Irregular Lot: Yes ❑ No Details: Measurements: Measurements: ,41 32' �0 19" D� jh � r - ......yam. 9 • >-... `t t.� j r • 1r ':_j A 4' D' T 3 i-s R Th.. loos wsL._ ("e' lc &C- H; a-es., / V AR -0" G1 r ■ D No 6S E S 7 6 x = S, t S Z.,. Sx .3gLi t Q. x14 i ail TOi�L t. / 1s- = 1,560 0 S w Q r. 71 Or i.�ooD bac1�� {y�3� Parcel Number Property Owner Address City, State, ZIP: Surveyed by Date of Survey R5000000440 T31S R23W T/L 1005 Hidden Basin Nicholson & Witteveen P.O. Box 2239 Kodiak, Ak. 99615 psc 10/94 Remote Lodge Good Grade Effective Age: 3 years Cost as of 3/94 Style: Floor Area: 1,560 square feet Quality: Average /Good Condition: Average 26% One Story, 74% Two Story Exterior Wall: Siding Units Cost Basic Square Foot Cost Including 8 Plumbing Fixtures Galvanized Metal Floor Cover Wood subfloor Appliance Allowance Plumbing Fixture, Rough- In Subtotal Basic Structure Cost 1,560 63.69 1,560 1,560 1,560 1,560 1 1,560 1.53 4.15 7.62 2.33 446.00 79.61 Extras: Wood Deck Enclosed Porch - Solid Wall Wood Stove Subtotal 144 72 1 14.75 61.79 750.00 Replacement Cost New 1,560 84.30 Less Depreciation: Physical and Functional Locational Depreciation Subtotal Depreciated Cost <2.0 %> <35.0 %> <37.0 %> 1,560 53.11 Rounded to nearest $100 Cost data by MARSHALL and SWIFT Total 99,356 2,387 6,474 11,887 3,635 446 124,185 2,124 4,449 750 7,323 131,508 <2,630> <46,028> <48,658> 82,850 82,800 Allowed 35% Loc. Obsol. for remote location. Dimensions are unconfirmed, taken from plans and aerial review. Check back, future plans include 12X20 Storage, 2 -20X24 Cabins and a 10X12 Banya. a 20ot ZOOS- — Odd- ► +y0. b0 s / CERTIFIED MAIL RETURN RECEIPT REQUESTED November 15, 1985 Alfred F. Haughey 745 Sky1ane S. Uvalde, TX 78801 Re: /DL 58438 - State of Alaska Patent No. 5305 Dar Fir. Haughey: It gives us pleasure to enclose State of Alaska Patent ?1o. 8305 conveying to you Alaska State Land Survey No. 80-61. It is suggested that for your protection, the enclosed patent be recorded at your earliest convenience in the Office of the Recorder, Kodiak Recording District, Box 1367, Kodiak, Alaska 9%15. The recording fee for the patent is $8.00 for the first page and $3.00 for any additional page or portion thereof. Your check or money order, payable to the Alaska Department of Revenue, should accompany the patent. If we may be of any further assistance, please feel free to contact us. Very truly yours, Edward G. Barber Jr.. Chief, Contract Administration Enclosure cc: Kodiak Island Borough RR /ljr KIBS215941 TS s e zZ C 7`L /o KODIAK ISLAND BOROUGH Community Development 710 Mill Bay Road (Rm 205), Kodiak, Alaska 99615 -6340 - Phone: (907) 486 -9362 ZONING COMPLIANCE PERMIT Permit #: FEE: $15.00 3 z- q �— i >Z 1. 2. 3. Property Owner /Applicant: _ %V\ lr> (A ); C'Te A Je, -an / Li, v',r� Ki <c L A cA,•, Number and size of parking s ces required (onsite identifcati of parking (� Q 0,11 spaces is required - Yes: No: /\' Mailing Address: I ,-)\<, �2 ar�� i l Atone: /// L� f/ 'v— :�Gl / Legal Description: / S L S 0 -- co [ ""C.41-11-12--S Olfstreet loading requirement: Ji Street Address: ' v6 �� _ L Tax Code #: Plat related requirements (e.g., plat notes, easements, subdivision conditions, etc.): {!` )-- Description of Existing Prope y/currentZoning: '- •. - -� to.... Other requirements (e.g., zero lot line, additional setbacks, projections into 1 c(- CC5.�.A/ ^Lim f C. e-ivyt c _x `> �G Minimum Required lot Areal CC +/ r? Width: yards, screening, etc.): �1�+_ �. L•i 't ( L %%� � 590 C i _._ Actual tot Area: I • Q G ✓''C' Width: C� •1 Minimum Required Setbacks: Sides: 2- ¢G.J J -Y- 1 0) [-{G) [ (J -2---,5- Coastal Management Program Applicable Polices (check appropriate category) Industrial: Otter (list): - Residential: Business: Front: QQ. - (-47-0,„ ar: V Maximum Building Height: !. A/� WI 4,-"2 fry�t( --ty1 / Use and size of existing structures on the lot (/ GLC Lam, ∎/ Is the proposed action consistent with the KIB Coastal Management Program? If the proposed action conflicts with the Coastal Management Program policies, describes the conflict(s), and specifies conditions to mitigate the conflict(s). Attachment - Yes: . No: attach a sheet that notes the policy(ies), - Yes: No: 4. Description •3 t Uv\ 6`F X q j W o (7--) 02 0 m x Z4f of proposed action (attach site plan): c.5..Nr.,, S r✓ l 1 - c �1OC w� �v� ` c.,t� I �` (.I v S S--q-(~ l X i 'f- U Z(-) (a ) ie_i5c. THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED Expiration: A zoning compliance permit will become null and void if the building or use authorized by such permit is not commenced with 180 days from the date of issuance, or. if the building c or use is abandoned at any time, after the work is commenced, for a period of 180 days. Before such work can be recommenced, a new permit shall be first obtained to do so. (Sec. 303 (d) Expiration, 1991 Uniform Buil U. 3/z kf 5. Applicant Certi fication: 1 hereby certify that 1 will comply with the provisions of the Kodiak Island Borough Code and that I have the authority to certify this as the property owner, or as a representative of the property owner. I agree to have identifiable corner markers in place in the field for verification of setbacks. By: Sup ad 4.• 402R/.Y.! g documents attached (check): Site plan: 6. Community Development staff for zoning, by: Tide: ��.[ �t. Date: 934-' / i7 / 9 I survey: Other (list): Tde: 1%� 4-/Date: 9f� C 3.5 7. Fire Chief (City of Kodiak, Fire District Si (Bayside), Womens Bay Fire District) approval for UFC (Sections 10.207 ant 10.301C) by: Date: 9. Driveway Permit (State, Gly of Kodiak, Borough) issued by: Date :_ 8. Septic system PLAN approved by: Date; Distribution: File (original) / Building Official / Applicant / Assessing co °WO January, 1994 ti APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT Telephone: 486 -8070 710 Mill Bay Road PLICANT TO FILL IN ALL INFORMATION WITHIN BOLD LINES. PLEASE PRINT. USE A BALLPOINT PEN AND PRESS FIRMLY.) (OFFICE USE ONLY) r STREET ADDRESS: N/f CLASS AND SCOPE OF WORK SPECIFICATIONS: BUILDING PERMIT NUMBER: DATE OF APPLICATION; `l? lZ no t , LOT: BLOCK: II l,E S g0-/ir / /7. ,4,41 r$92 1R� NEW u DEMOLITION FOUNDATION FOOTINGS STEM WALL PIERS ZONING DMPLIANCE: DATE ISSUED: ? r L- 1 ! �1 .� r C? Li ALTERATION ' REPAIR TYPE ,,,•!. ,_ ,,. ,`+' i , , ,,..F / 1� SUBDIVISION / SURVE 11.(.4 if A ✓ ADDITION MOVE DIMENSIONS T�� �. >:A VALUA ON BASIS; v~` BUILDING PERNfIT� E;t t , t S n n DEPTH IN GRND ?' of / W N E R NAME /�/� �',e ��'/' �Jl�i (= USE OF BUILDING AUTHORIZED BY THIS PERMIT: REINFORCEMENT c,,,- ,,,, , ,,,(n, e VALPATION: a ` PLAN CHECK FEE: s�� � r ._ TOTAL`FEE — BOLT SPACING -%�� �r�()(1 ._ -,E-- OCCUPANCY GROUP; }�� CRAWL SPACE HEIGHT / ' 1 i n INCHES ` MAILING ADDRESS: /d-X 2z 3 `' A B E H I M R DIV. 1 2 V 4 5 6 �� (� �. CRAWL SPACE VENT n_ , / SQ. FEET CITY &STATE: Orr/ -�rz, /` .4K . / 9lG/ S SIZE !z/0 HEIGHT 10' STRUCTURAL , SPECIES & GRADE SIZE SPACING SPAN NO. OF ROOMS /_ STORIES 7 RECEIPT NO: TELEPHONE: 907 -i7ko- 3953 NO. OF FAMILIES GIRDERS 11 n.,= r n 4.12 4,„ /.2 a/ /.v , EACH OF THE FOLLOWING STAGES OF CONSTRUCTION REQUIRES INSPECTION BE REQUESTED & COMPLETED PRIOR TO PROCEEDING WITH ANY FURTHER WORK: FOR INSPECTION CALL 486 -8070 TYPE OF BUSINESS / f,.., ,_r GIRDERS A R C H / E N G NAME: NO. OF BLDGS NOW ON LOT ,,,,,,, JOISTS 1ST FLOOR J<-,,.. _ ..-.A «1 , ,� A ., f USE OF EXISTING BLDGS ,ch1,„1, JOISTS 1ST FLOOR MAILING ADDRESS: • SIZE OF LOT -- „r , < JOISTS 2ND FLOOR /4.- , r e ,, , /3 + WATER: PUBLIC PRIVATE k JOISTS 2ND FLOOR TYPE OF CONSTRUCTION I II III IV �. NL.i 1 -HR FR H.T. CITY & STATE: SEWER: PUBLIC PRIVATE X CEILING JOISTS y�� ,c.F.$..t7 �X'� � „' • INSULATION TYPE & THICKNESS: EXTERIOR WALLS 1/. . r ,�, *t . Vi , Y 1L' 0; BEARING WALLS +4-1 7 '/1 '' TELEPHONE: FOUNDATION — -,zGt _ rj'� EXCAVATION INTERIOR WALLS .,e- .4, 1f�.. f: i, Z ,,,,, ,4 it UNDERGROUND UTILITIES STATE LICENSE: WALLS ,2 -+ 9- i „ ROOF RAFTERS fit,, _rte �_,� ;l„,, ,' i 4,1/ ,d' ROOF / CEILING .0 -- - rr” TRUSSES ■ DRIVEWAY PERMIT; FOUNDATION 1 SETBACKS SUBMITTED FRAMING UOzW¢¢OI- OQ NAME: - SHEATHING TYPE_$ SIZE: FURNACE TYPE: W000 57c7' APPROVED ROUGH ELECTRICAL FLOOR $ice ,,1 �, .T_ a / WOOD HEATER . dip NO TYPE /� /5-0,:ffg ROUGH PLUMBING MAILING ADDRESS: - ADEC APPLICATION; FINAL WALLS " ,,, /,Q ,-,,,ezerm,.b R0OF .,/,,,, n, 4. ,,,,,,,„2, SUBMITTED DATE C.O. ISSUED: CITY & STATE: �'.e..,, -° HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT IT IS CORRECT AND THAT t AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION ; APPLICANT: FINAL APPROVAL ALASKA FIREMARSHAL REVIEW: SUBMITTED: i IAPP,ROV,ED:, : :.N a P., ,, TELEPHONE: FINISH MATERIAL: ROOF .4.- :.,1 i 0,1A/ 1-tic:: 1-01;0 I , APPROVED - BUILDING OFFICIAL: 4 STATE LICENSE: - EXTERIOR SIDING ypp, /,,F INTERIOR WALLS ,,,,,d NOTES: yr - UTILITY CONN CTION FEES WATER $ D TE SEWER $ ECEIPT# . TOTAL $ CASHIER /65 o00 00 oz.ND