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AIRPARK 1ST BK 1 LT 36 - Property Card)wner- Aailing 0 y „_ J Property Addr, C. . k. Observed Physical Condition I Exterior Interior I Foundation BUILDING TYPE AND USE 4. EXTERIOR O 6. INTERIOR (Continued) 7. Floors (Continued) — _Single �oubl — Concrete Black Sh th' Ki d —Trim Kind Gad P e G FINISH W d e —Other _# Stories __ attic Finish _� _Basement _Frame. _Concrete Block ea mg a — Building Paper — insulation . Kind — Stucco Siding Kind _Shakes — Bricktex - I e ao Concrete _ Bath Living Room Bed Room Floor Number Number Rooms Baths Basement 1st Floor Attic 2nd Floor _ —Oil Oil Furnace ok —Coal Ster —Hot Water —Hot air Forced — Radiant - -Space Heater KInd —Floor Furnace — Number of Chimneys _ _ —Kind NUMBER OF FIREPLACES — Basement —1st Floor _Type_ 9. PLUMBING jContinued) 1. FOUNDATION D_ r X N 4 TW —_Log _log Slab ._Log Siding —Plywood 3rd Floor 8. HEAT I I Stove Attic _ —Oil Oil Furnace ok —Coal Ster —Hot Water —Hot air Forced — Radiant - -Space Heater KInd —Floor Furnace — Number of Chimneys _ _ —Kind NUMBER OF FIREPLACES — Basement —1st Floor _Type_ 9. PLUMBING jContinued) 1. FOUNDATION Total #I —Water Source —Sewer Sosl+ce ' — Concrete Thick Co”. Block _Wood Posts _Skids —Wood Sills Grade of Floor Plan —P —_A —G Coiling Height — Basement —1st Floor —2nd Floor �4Hic Grade of Kitchen _ P —A —G —Oven Built -in —Range Built -in —Both Room Finish _ -----Attic Stairway __Attic Unfinished —Attic Useful 90 — Number Dormers —Shed T ype Size —Gable Size S. ROOF E= 10. ELECTRICAL + "� — !Mired Grade —220 Service I � TOTAL GRADE —Flat _Gable — Hip —Other Kind — Shingle 2. BASEMENT — Partial _x_ —S.F. —Full _Cribbed — Concrete - Outside Entrance —Rec. Room Size _Living Area Size -�Fin. Walla Mod _Fin. Floor Kind —Fin. Ceiling Kind — — Shakes _Composition # — Shingle _Insulation rind _Tar Paper P —Metal Kind Built -up —Other 11. GARAGE - 9. PLUMBING -- —jp Tubs_w /shower Toilets Grad - -. 12 PORCHES 6. INTERIOR —# Basins — Insulation Board — Plasterboard — Plaster - -Masonry —Wood Paneling — Plywood Finished — Unfinished _Open Stud —# —# Kitchen Sinks _ —# Shower Stalls_ —# Hot Water Tanks —# Gallons —Kind 3. FRAME _Walls G.C. gracing 7. FLOORS 13. YARD IMPROVEMENTS Roof o.t. Floor ^,c, _Ceiling ^,c, -Other 1st Floor Bridged — Past Size Boom Size ^.c. - —# Laundry Trays — —Total Number Fixture find Floor ^.c. Other Buildings Area Floor Roof Interior Heat Plumb Unit Cosh Adds 6 Deducts Repl. Cost Age Condition Building Cost BUILDING VALUE CALCULATION OPERATIONS AND PROCEDURES BUILDING AREA CALCULATION_ Item No. Area or Quantity Unit Cost Total Performed By Date Square Feet — Ground Area Inspection Floor or Part Width Length Area Classification Calculation Review ADDITIONS AND DEDUCTIONS Total Replacement Cost $ Cost Conversion Factor Adjusted Replarement Cost E DEPRECIATION a. Effective Age Depreciation Is. Observed Physical Condition c. Total Depreciation (a 4 b) d. Net Condition (100 - c) OBSOLESCENCE e. Overimprovement f. Underimprovement g. Other It. Net Condition (100 - (e +f +g) I. FINAL NET CONDITION (d "x h) SUMMARY OF APPRAISE VALUE $ Notes! S1 I R Perimeter Scale l/e" Ft. Kids X 71 �A - - IS Kids X 71 �A - Other INFLUENCES: PLUS MINUS Depth Topography L Irregular Modification 9009 110 view Drainage Physical Barriers Access Comer Water Sewer Sidewalk Paving - Gmtr– & Gmler Lr, o l Other TOTAL Net + I —) Use: .LAND VALUE -PLACE PICTURE HERE 49f4PS6l00 y7-= 5,90 1000009 17 02 75$853 Da��f�oaankCGma�� ASSESSED VALUATION REASON FOR CHANGE L 9009 110 m��- 7 e n I �• X17 ��! /! „I,Jl1:L'J �lctcL . 1. • • • a • •. r -PLACE PICTURE HERE 49f4PS6l00 y7-= 5,90 1000009 17 02 75$853 Da��f�oaankCGma�� J IN 2 j G REASON .. 'r. / t. J ' ' FYI � II / • � i1_� / X11 •• // rim. �. • J . III I/ is �/ r 5/4/2000 Estimate Number Parcel Number Legal Description Property Address d.b.a. Zip Code Surveyed By Date Section 1 Occupancy 100% Lt. Commercial Utility Build. Total Area Number of Stories (Section) Perimeter Components Walls: Stud - Hardboard Sheet HVAC (Heating): Space Heater Costasof 10/1997 Basic Structure Base Cost Exterior Walls Heating & Cooling Basic Structure Cost Rounded to Nearest Assessor Summary Summary Report 134 81030010331 Airpark 1st B 1 L 22A 1411 Mill Bay Rd 99615 KIB Assessor "s Dept / ML 05/04/2000 Class Height Wood or steel framed exterior wa 12.00 2,560 1.00 224 Units /% Other 100% 100% Climate Units/'/o Cost 2,560 7.16 2,560 8.94 2,560 2.33 2,560 18.43 100 Page: 1 Rank 1.0 Total 18,330 22,886 5, 965 47,181 47,200 Assessed Value 100.08 47, 181 Rounded to Nearest 100 47,200 Cost Data by Marshall & Swift 2/16Q006 Summary Report Pagc: I Total Estimate Number 0 Parcel Number R1030010360 Property Owner Bass, Brett & Sarah , Property Address 1317 Mill Bay Road Property City Kodiak State/Province AK ZIP/Postal Code 99615 Section 1 Occupancy 100% Dental Office/Clinic Total Area Number of Stories (Section) Perimeter Components Land and Site: Site Value Cost as of 07/2005 Basic Structure Base Cost Exterior Walls Heating & Cooling Basic Structure Cost Less Depreciation Physical & Functional Depreciated Cost Miscellaneous Site Value Total Cost Class Wood or steel framed exterior 2,283 1.00 210 89,500 Height Rank 8.00 3.0 Other Units/% Cost Total 2,283 138.50 316,196 2,283 26.19 59,792 2,283 25.10 57,303 2,283 189.79 433,291 1.090 4,333 2,283 187.89 428,958 89,500 2,283 227.10 518,458 Cost Data by Marshall & Swift 3/18/2005 Summary Report 4Page: 1 Estimate Number 217 Parcel Number R1030010360 Legal Description Lot 36, Bk, 1, Airpark Subd. 1st Add Property Address 1317 Mill Bay Rd. d.b.a. Dr. Bass Dentist Zip Code 99615 Section l Occupancy 100% Dental Office/Clinic Total Area Number of Stories (Section) Perimeter Components HVAC (Heating): Hot Water Exterior Walls: Stud - Hardboard Siding Cost as of 07/2004 Class Fireproof structural steel frame 2,283 1.00 202 Units /% 100% 100` Height Rank 14.00 2.0 Other Miscellaneous Cst'm cabinetry, ceramic entry Units/% Cost Total Basic Structure 305,578 Rounded to Nearest 100 Base Cost 2,283 136.12 310,762 Exterior Walls 2,283 16.94 38,674 Heating & Cooling 2,283 22.51 51,390 Basic Structure Cost 2,283 175.57 400,826 Less Depreciation Physical & Functional 30.0% 120,248 Depreciated Cost 2,283 122.90 280,578 Miscellaneous Cst'm cabinetry, ceramic entry 25,000 Total Cost 2,283 133.85 305,578 Rounded to Nearest 100 305,600 Assessor Summary Assessed Value 100.0% 305,578 Rounded to Nearest 100 305,600 Remarks for Section 1: New construction, approx. 70'x, complete at year end, 2004 (30% depreciation applied). Cost Data by Marshall & Swift M Lotj*Airpark Subd. 1st Add. 1317 Mill Bay Rd. Lot 26, Airpark Subd. 1 st Add. 1317 Mill Bay Rd. aft 4wft"ftwft Lot 26, Airpark Subd. 1 st Add. 1317 Mill Bay Rd. Lot 15A, LISS 3098 1950 Mill Bay Rd. Lot 26, Airpark Subd. 1st Add. 1317 Mill Bay Rd. Kodiak Island, Alaska REQUESTED BY: ASAPPR RUN 02/10/05 11:15 AM 81030010360 AIRPARK 1ST BK 1 LT 36 BASS, BRETT 6 SARAN PAGE 1 OF 1 1222 MADSEN AVE 1317 MILL BAY RD KODIAK, AR 99615 KODIAK 99615 LAND VALUE 83,000 51 MISC VALUE 0 BLDG VALUE 0 CANA VALUE 0 11 11 TOTAL VALUE 83,000 VALUE BY OVERRIDE PV 83,000 BAS(2283) 2� 2TI 4 RPO(30) 41 9 13 — iKAPT72)- 9 -1 BAS( R5ID17R3D24L13KWP( D8L9USR9 )L41RPO(USL6DSR6)UEL6U20 R6U16) AREA GR AREA PCT AJ AREA HAS 2283 100 2283 KWP 72 0 0 RPO 30 0 0 PROPERTY NOTES APPRAISER APPR DATE PROP USE Bus MILL GROUP O1 NERD CITY L100 M100 B100 EPP AREA RCN DEPR OBSOL BUILDING BOOK PAGE DATE QS SALE PRC 2004 491 0304 /0 1 188 804 0302 /1 75900 159 526 0998 /2 180000 PERMIT NO TYPE DATE AMOUNT OS -9 NRTL 0804 253516 200318 CALT O802 2000 REC BLDG CODE DESC LENGTH WIDTH UNITS ADJ PRICE EYB DT PCT ADJUSTIMTT VALUE MISC TOTAL 0 AEC LUSE DESC ZONING FRONTAGE DEPTH UNITS TP ACRES PRICE AJ PRICE VALUE 1 9999 Converted BUS .00 .00 18941.00 S .43 .00 .00 0 LAND TOTAL 0 100% Parcel ID #: 10 ()3 t.0 Legal Description: - 1 -,,7— rr" ik l V A).; fec.31� Name of Property Owner Owner's Signature: Date: Percentage Complete Check List Cumulative % 1. PLANS, PERMITS & SURVEYING 2 2. EXCAV, FORMS, WATER /SEWAGE HOOK -UP CJ 6 3. CONCRETE 0�8; 14 4. ROUGH FRAMING C2) 35 5. WINDOWS & EXTERIOR DOORS 2� 37 6. ROOF COVER 3 40 7, ROUGH -IN PLUMBING 04 44 S. INSULATION 45 9. ROUGH -IN ELEC & MECHANICAL C 10. EXTERIOR COVER 11- INTERIOR DRYWALL & CEILING FINISH 12. BUILT -IN CABINETS, INTERIOR DOORS, TRIM, ETC, 13 83 13. PLUMBING FIXTURES 5 88 14. FLOOR COVERS 3 91 15. BUILT -IN APPLIANCES 3 94 16. LIGHT FIX & FINISH HARDWARE 2 96 17. PAINTING & DECORATING 4 100 100% Parcel ID #: 10 ()3 t.0 Legal Description: - 1 -,,7— rr" ik l V A).; fec.31� Name of Property Owner Owner's Signature: Date: 5/4/2000 Estimate Number Parcel Number Legal Description Property Address d.b.a. Zip Code Surveyed By Date Section 1 Occupancy 100% Equipment Shed Total Area Number of Stories (Section) Shape Components Walls: Stud - Hardboard Sheet Costasof 10/1997 Basic Structure Base Cost Exterior Walls Basic Structure Cost Rounded to Nearest Assessor Summary Assessed Value Rounded to Nearest Summary Report Page: 1 137 R1030010360 Airpark 1st B 1 L 36 1317 Mill Bay Rd 99615 KIB Assessor "s Dept / ML 05/04/2000 Class Wood or steel framed 1,360 1.00/2.0 Units/% 1008 Units/% 1,360 1,360 1,360 100 100.08 100 10'�o Cost Data by Marshall & Swift Height Rank wa 9.00 1.0 Other Cost 9.39 7.98 17.37 Total 12,770 10,853 23,623 23,600 23,623 23, 600 Parcel Number R1030010360 Street address .: #1317 MILL BAY RD Historical Age 1970 Property Owner KRUEGER, ROBT & Ih. Address 1013 12th St NE City, State, Zip: EAST WENA- rCHEE, WA 98802 Reviewer, Date ML 2/10/92 Occupancy: Warehouse, Storage Floor Area: 1,360 square feet Class: Frame Cost rank: Very Low cost as of: 10/91 Number of stories: 1.0 Average story height: 9.0 feet Effective age: 22 years Heating and Cooling: Space Heater.................. 100% ►1�,5i -e // -x'437 KIBS194714 Units Cost Total Base Cost.,... .............. -- - - - - 1,360 - -- - - - 22.0229,947 - - -- Heating & Cooling_ ............. 1,360 3.96 5,386 Basic structure cost............ 1,360 ---- -------------------- 25.98 35,333 Less Depreciation: -- - - -- Physical and Functional....... (45.0%) (15,899) Depreciated Cost ............... - - - --- --- 19,433 - - - - -- Rounded. to nearest $100 -- -- 19,400 Cost data by MARSHALL and SWIFT ►1�,5i -e // -x'437 KIBS194714 ri MARSHALL AND SWIFT COMMERCIAL ESTIMATOR FOR ASSESSORS GI 1 Parcel Number GI 2 Property Owner GI 3 Address f GI 4 City, State, ZIP GI 5 Surveyed by GI 6 Date of Survey CO 111"� CO 2 CO 3 CO 4 CO 5 CO 6 CO 7 CO a CO 9 C010 C011 C012 AD1 AD2 AD3 AD4 AD5 AD6 LAN SIT PHY FUN LOC Description RE1 RE2 SAVE >rv5 FORM A- 2100.3 Occupancy Number (See Back of Form) Class A Fireproof structural steel frame B . Reinforced concrete frame C Masonry bearing walls D Wood or steel frame exterior walls S Metal frame walls Zip Code Rank 1 Low 3 Above average 12 Warmed and Cooled Air 2 Average 4 High 14 Heat Pump Total Floor Area Floor Furnace Perimeter or Shape 1 2 1 2 3 4 5 Electric Electric Wall Forced Air Unit Hot Water Hot Water, Radiant Approximately .Slightly LAN SIT PHY FUN LOC Description RE1 RE2 SAVE >rv5 FORM A- 2100.3 Occupancy Number (See Back of Form) Class A Fireproof structural steel frame B . Reinforced concrete frame C Masonry bearing walls D Wood or steel frame exterior walls S Metal frame walls Zip Code Rank 1 Low 3 Above average 12 Warmed and Cooled Air 2 Average 4 High 14 Heat Pump Total Floor Area Floor Furnace Perimeter or Shape 1 2 3 4 Approximately .Slightly Irregular Very Square Irregular Irregular art Number of Stories Story Height Effective Age Heating and Cooling 6 Space Heater 7 Steam 8 Steam, Without Boiler 9 Ventilation 10 Wall Furnace Elevator(s) Yes /No or area served Sprinklers Yes /No or area served MISCELLANEOUS ITEMS GENERAL Land Site Improvements Physical Depreciation Functional Depreciation Locational Depreciation FBA UBA MEZ BAL 11 Package Unit 12 Warmed and Cooled Air 13 Hot and Chilled Water 14 Heat Pump 15 Floor Furnace BUILDING %Q S.F. Finished Basem t I V ADDITIONS AND REMARKS Cost S S S S S S Options KIBS194715 Printed in U.S.A. S.F. Unfinished Basement S.F. Mezzanine S.F. Balcony ADDITIONS AND REMARKS Cost S S S S S S Options KIBS194715 Printed in U.S.A. IMPROVEMENTS DESCRIPTION PRESE17 USE: 4- INTERIOR W1,S': OCCUPIED BY: CEILING: NO. STORIES: FLOOR COVERING: ii TYPE OF OMSTRUCTION: o oc) 1) rA Q. HEAT: FOUNDATION: SPRIN KLERED: HBO Woo Qoa_ ROOF: b", PLLFBING/RESTROOMS: EXTERIOR WALLS: CONDITIONS/REMARKS: HEIGHT: I D �11 m�r I r' 7 7, -4--L4 - I 447 it p p A. . .... .... . - - - - --------- . .. ........... . .. ......... ....... .... _J -------- . ..... --- ­- -­---- KIBS194717 1. 2• 9 .,. CALCULATOR COST FORM t•'nr svh.vrribrr•.v may the MARSHALL VALUATION SERVICE Calculafar Cosl Afrth.•d - SQUARE FOOT COSTS / Subscriber making survey K % 3 � ie d� Date of survey Name of building LvT 3 4o RLK ( Owner �pnJ Located at A r Ake s U 4. occupancy ............... . 5. Building class and quality ..... . 6. Exterior wall ............... 7. No. of stories & height per story . . 8. Average floor area ........... 9. Average perimeter... ..... . 10. Age and condition........ . SECTION 1 SECTION II SECTION 111 SECTION 14 �1 Wh. OFFIC E:. Cl, 0 0oal. Lou) a, D oval Lew Ch-O.W.-ch_0 ql. i w ooQr� No. 1 NI. 10 No. 'IHI. ,+ No. H:. No. H., bo LIDO 179 go yoo Aqe LS Cond. �1)01 Aq` t O Cond I Age_Cond. Age_Cond. 11. Base Square Foot Cost ....................... ........ SQUARE FOOT REFINEMENT O)IIam, 12. Heating, cooling, ventilation ............... 13. Elevator deduction .................. .... . . 14. Miscellaneous ........... .... .... ... .......... . 15 . ... . ................. . .. ...... of lines 11 through 14 HEIGHT A S REFINEME S 16. Number of stories- multiplier ... . 17. Height per story - multiplier (see Line 7) .......................... . 18. Floor area - perimeter multiplier (see Lines 8 and 9) .................... 19 ................. Combined height and size multiplier (Lines 16 x 17 x 18) FINAL CALCULATIONS 20. Refined square foot cost (Line 15 x Line 19) ..... 21. Current cost multiplier (Sect. 99 p. 3)......... . 22. Local multiplier (Sect. 99 p. 5 and 6) ......... . 23. Final sq. ft. cost (Line 20 x Line 21 x Line 22) .. . 24. Area (Back of this form) ................... 25. Line 23 x Line 24 ....................... 26. Lump sums (Line 32) ..................... 27. Replacement Cost (Line 25 +Line 26)....... . 28. Depreciation % (Sect. 97) .................. 29. Depreciation amount (Line 27 x Line 28)....... . 30. Depreciated Cost (Line 27— Line 29) ........ 31. Replacement cost SECTION 1 SECTION 11 SECTION III SECTION IV yoo O Q SECTION I SECTION It SECTION III SECTION IV yoo O Q 900 a o� Ob ['01060 TOTAL OF ALL SECTIONS Depreciated cost KIBS194718 Insurable value See back of this form for drawings and area and insurable value calculations. FORM 7003 (Calc. Cost) Copyright 1967- Afarshall and Stevens Publication Company- Printed in U.S.A. 47 FILE 0 3196 ®2004 - 000491 -0 Recording Dist: 303 - Kodiak A 3/2/2004 2:31 PM Pages: l of 1 A K III�IUI�III�InII�UIIII�IIIIIIIIO�IIIIYI�IIl011�InBII�IOn A STATUTORY WARRANTY DEED THE GRANTOR(S), MICHAEL W ANDERSON, whose address is P.O. BOX 2310 KODIAK, ALASKA 99615, for and in consideration of the sum of Ten Dollars and other good and valuable consideration in hand paid, convey and warrants to GRANTEE(S), BRETT A BASS and SARAH B BASS, husband and wife, whose address is 1222 MADSEN. AVENUE KODIAK, ALASKA 99615, the following described real estate, situated in the State of Alaska: LOT THIRTY -SIX (36), BLOCK ONE (1), AIRPARK SUBDIVISION FIRST ADDITION, according to Plat 71 -12, located in the Kodiak Recording District, Third Judicial District, State of Alaska. Subject to covenants, conditions, restrictions, easements and rights of way of record, if any. Dated this— day of MARCH, 2004. - MICHAEL. W ANDERSON STATE, OF ALASKA aa. THIRD JUDICIAL. DISTRICT ) THIS IS TO CERTIFY that on this day of MARCH, 2004 , before me, the undersigned, a Notary Public in and for the State of Alaska, duly commissioned and sworn, personally appeared MICHAEL W ANDERSON tome (mown to be the person(s) described in and who executed the above and foregoing instrument, and acknowledged to me that HE signed the same freely and voluntarily for the uses and purposes therein mentioned. WITNESS My Commission expires: AFTER RECORDING RETURN TO: Brett A Bass Sarah B Bass 1222 Madsen Avenue Kodiak, Alaska 99615 p 1 of 1 (w.,..my me )) the day and No 71 i r` ANDERSON CONSTRUCTION CO. 1311 Mill Bay Road P.O. Box 2310 KODIAK, ALASKA 99615 (907) 486 -5551 FAY tan71 A4C_GGn7 JOBLV�3b r lrpatk SUbA- C�1s�� SHEET NO. OF CALCULATED BY DATE CHECKED BY DATE /y�� - �/ 14- 02. r If 1.3; y3 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT Telephone: 486 -8070 •486 -8072 Fax: 486 -8071 710 Mill Bay Road, Room 208 (APPLICANT TO FILL IN ALL INFORMATION WITHIN BOLD LINES. PLEASE PRINT. USE A BALLPOINT PEN AND PRESS FIRMLY.I (OFFICE USE ONLY) STREET ADDRESS: CLASS AND SCOPE OF WORK: SPECIFICATIONS: BUIL ING PERMIT N BER- DATE OF APPLICATION: LOT:: BLOCK: �-�W IDEMOLITION FOUNDATION FOOTINGS STEM WALL ZO NIN MP IANC cE,:, CZ' DATE IS D' ALTERATION REPAIR TYPE SUBDIVISION / UURV�EY,:,� 12 ADDITION MOVE DIMENSIONS VALUATION BASIS: J I -L BUILDI PE M'IT FEE! I ( 7G, a I DEPTH IN GRND 0 W E R/ NAME: USE OF BUILDING AUTHORIZED BY THIS PERMIT: I REINFORCEMENT VALUATION: �j� O� LJ l PAN CHECK E c- BOLT SPACING MAILING ADDRESS'. (2,2 Z y��S�� CRAWL SPACE HEIGHT INCHES OCCUPANCYGR UP- (� J TOTAL FEE: I ' - . CRAWL SPACE VENT SQ. FEET CITY � &--STATE: h SIZE '[,.2.35 HEIGHT Z2 STRUCTURAL G. SPECIES & ADE SIZE SPACING SPAN NO. OF OOMS STORIES ( RECEIPT NO: TELEPHON I -73 NO. OF FAMILIES e-' GIRDERS TYPE OF BUSINESS Ekj { GIRDERS v EACH OF THE FOLLOWING STAGES OF CONSTRUCTION REQUIRES INSPECTION BE REQUESTED & COMPLETED PRIOR TO PROCEEDING WITH ANY FURTHER WORK: FOR INSPECTION CA LL 4868070 A R C H N G�� N'A`M_E` I' NO. OF BLDGS NOW ON LOT Q6 JOISTS 1ST FLOOR USE OF EXISTING BLDGS 04D . JOISTS 1 ST FLOOR TYPE OF CONSTRUCTION MAI ING ADD`q /FpSS: / V4� JO SIZE OF LOT ( JOISTS 2ND FLOOR ATER: PUBLIC PRIVATE JOISTS 2ND FLOOR CITY & STATE: ` /�� ^-�COD -!� 1 �, 66G 71 SEWER: PUBLIC PRIVATE CEILING JOISTS INSULATION TYPE & THICKNESS: EXTERIOR WALLS TE EPH NE: ' 7 30p FOUNDATION BEARING WALL INTERIOR WA S EXCAVATION STATE LICENSE: WALLS ROOF RAFT S UNDERGROUND UTILITIES �_— ROOF If CEILING TRUSSES DRIVEWAY PERMIT: SUBMITTED FOUNDATION I SETBACKS C NMAILING T R NAME: 6.d:' "ADDRESS: SHEATHING TYP ZE: FLOOR FURNAC_TYPE: FRAMING . APPROVED ROUGH ELECTRICAL ("O, 3j WOOD HEATER YES � NO TYPE ROUGH PLUMBING WALLS ADEC APPLICATION: SUBMITTED FINAL CITY & STATE: ROOF; DATE C.O. ISSUED: A C TO R HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION, THAT IT IS CORRECT AND THAT I AGREE IL COMPLY WITH ALL ORDINANCES AN AWS RcGU ATING UILDING CONSTRUCTION , A�' APPLICANT' VYI� FINAL APPROVAL TELHONE: �� Q� F ISH MATERIAL: OOF LOCAL FIREMARSHAL REVIEW' SUBMITTED: APPROVED: STATE.7LLI��CENS C/J $10 EXTERIOR SIDING INTERIOR WALLS NOTES: 7 a z to , CDT I5 3 51(,o s' loco =- 15.31'5 537, 31 _ Rev. 1 -97 D ; 7 L' PAINTED IN KODIAK, ALASKA RY PRIM I TEIIS DR�K`DUn i FLt. Yi PC lea Trk 5� 0— -- im 0SR so IL!I�l �110�Aa 0�slllo . 1pv�r lv� Aa 9gla SAo a virdo A sill-t R, (oalfoo S-i'llwi tiv lot4 I ol . cc rl L u heck G 5�-� OP. -0-2 I OP, T4= OP. Two OP, one -1 7 1 7 nJ $TACK ®1� FLOOR PLAN ..000 C"WIS ------ I k�-4- I- L.- 75 jT4 I Lj 'll W 171NG Iii 52 Ulu 0 1.