DESCRIPTION OF MATERIALS AND ITEMIZATION OF COSTS Builder or Contractor G.. A .-R0GL)F1A- (../2/ChtPlsone: Home Owner nt.e - MOrrretavtery Phone: Home aa etra Bus. Address of Property Bldr. Lic. # Lot: 4) Block: ActaitioGOkitott eciptiBcounty: ir,A9t-tvinisrf Lot Set Backs: From: 7fi Ft. Sides JO lb Ft_ Back 7.0 Ft. Zoning Classification: MATERIALS 1. PLANS, PERMITS, ARCHITECT'S FEES 2. BONDS. INSURANCE COST s Zatrcea — 3. EXCAVATION, BAC:I:PILL, FINAL GRADING 4. FOUNDATION MATERIAL: LABOR: S 7. 0 -1 Bearing soil type Founiation material Piles Slab Moisture Ranier—descastie Draina,ge System 4:41; OOO - LABOR: S 5. FRAMING, SHEATHING MATERIAL: S tA sigh Concrete Block Piers Depth WasSingle Construction 0 Double Construction x Grade Material Girders _x -_Grade Material Joists x Grade Material Sub Fir x Grade Material Studs x Grade Material Rafters x Grade Material Trusses Sheathing: Roof Walls 6. ROOFING .30 LI( Pf 2H 4W-49 S BL OOD Waterproofing idI-1 Cedar shingks u (^Ma Other shakes u Composition 711e 7. SIDING l'h‘iU ni / ett 114110 M MATERIAL: 5 rO $ it Brick Aluminum i ken LABOR: T1-11 Wood yw Sto Pl ood _ — Explain Thic Type Other . ` LABOR: S 8. WINDOWS, SASH CA-(VC)rh)e.- MATERIAL: S Soo° — Make Ty IAN41-. pecreens Storm Windows poesDercre Glazed 9. BRICKWORK 3 31 ()OD - ID Firebox: 0 Brick 0 Metal la No. of Fireplaces Free Standing U Wood Stove(s) N 10. SHEET METAL WORK " AL-0M Paneling—descnbe Wallpaper—describe rwr I 44 $ L5 PO "r Connected to Gutters/Downspouts—Descnbe 5 11. EXTERIOR/INTERIOR PAINTING AND DECORATING P O Ext. no. of coats Materials CPCSVX Ira. no. of coats Materials LO24 in6,06 EFTA01128406 Z12. PLUMBING AND PLUMBING FIXTURES (please indicate if Fiberglass. Stainless Steel, or Cast Lim u_nder ., Type) Fixtures: Main Bath Type Mfr. (PIE'll TYPe Mfgr. 2nd Bath Type NMI% 3rd Bat TYPe Mfr. IGtchea TYPe Mfgr. Utility Type Mfgr. Other: (i.e. Sauna, Jacuzzi. Hot tub, etc.) 13. WATER ❑ Public O Commimity O Well-private Plater Distria 14. SEWER Cl Sewer hook-up O Septic O Cesspool 15. ELECTRICAL WIRING AND FIXTURES Installed by ®surface Unary-mad . of outlets (110) No. of outlets (220) Fixture Allowance 16. INSULATION ' Material Bsmt. walls: Material Vapor Barrier: Material Weather-strippiog—descnbe 17. HEATING, COOLING Fuel: Electric S 'crefikte2. 11 Oil ;() Hot water or water Wood Coal — Solar—please enclose specs. 's O Central U Wall UWmclow OD fee--4-r-icIt Factor R Factor Ceiling: Material Walls: Material Floor (over crawl 9ace) U Under Sub Floor ❑ Foundation Perimeter R Factor R Factor R Factor Forced Air Baseboard Ceiling cable Radiator Wall unit Her pump Other. Air Conditioner: Ductwork insulation Thickness 18. INTERIOR WALLS/DRYWALLS 2ttaTritg. _ s qt. OD — Describe finish: walls Describe finish: ceiling Other walls—describe 19. DOORS. TRIM. FINISH Interior doors: Type le*P3OL- Exterior doors: Type-Front Rear Trim: Wood Vinyl Shearock Trim finish: Material No. of Coats 20. GARAGE MATERIALS Garage door—describe Automatic opener—describe 1 (,2l ` n,4 t Y"ryf Garage intenor hillsheetroc Garage interior, firewall - onlyked O -kW at, Ic- -Teich xeP Pao too $ 14. Poo M 4-, OOP - Gov - a oleo — EFTA01128407 21. CABINETS $ I 4 4 0OO - Mfgr Ltiefe- Sel)b Materials 'de board Veneer—describe Finish: Materials ej No. of coats. Z.-- 22. VINYL, FORMICA. TILEWORK $ t2.1900 Countertops. Formica Other Flooring: Kitchen Baths Tilework: Kitchen Baths Entry 23. APPLIANCES Range: p .Free standing Make Oven: O Free standing U Drop-in U Built-in Make Model # Dishwasher t7 Make odd # Disposal vl, Make Model # Hood/Fan iee Make te Model S Jennair Model # Microwave V Make l I Model # Intercom Make Model S Vacuum Make Model # Trash Compactor Make. Model # Bath fans Make Model # Smoke Detector Make Model S Security System Make Model # Other Make Model # 24. UNDERLAYMENT S I. LOP - O Particle board O Plywood O Thickness 25. FLOORING Carpet—Located 4 34/ "Vc)CA..-tt IOther—Located / wood—Located V I 161/1--r-ey 26. PORCHES, PATIOS, ETC. DroP-in Model # Want Size Porch Deck Size Patio Other Late._ re-lef -f 0 -k- ISO ease mark box where appropriate and give size when requested to receive value. 27. DRIVEWAY-SQUARE FEET 7 )0 '‘A 7O T--- &oo $ 3i coo $ tat 000 6 ( 000 "" bt CVO ----- Gravel Other ❑ Asphalt Concrete 1 1 000 - 26. LANDSCAPING 4 .rtNAT' (a Ali s LEth tja Barkdust [Shrubs O Lawn CI Retaining Walls 29. MISC. EXTRAS (Win/ I tOtFlarQ4,01(1 S i COO - 8 Rails O Wrought Iron O Sprinkler System Planters U Other 30. CLEAN-UP ..3)A) VIAjp a $ ,1 000 (Ay 3414) 1024 oineros EFTA01128408 APPLICABLE) (WHERE TAX SALES 31. MATERIAL AND LABOR - SUBTOTAL 32. FINANCING 33. COMMISSIONS ESTATE REAL 34. OVERHEAD AND PROFIT 35. LOT 36. price Purchase acquired (Date coo ad — sego de - $ Z/O1,7111 s s 45,0:22 s S -VALUE: )- 222 3 5 COSTS: TOTAL Level Bsmt. — feet Square PLAN: FLOOR coy „ 9r Level Main Level Upper ONLY FINISHED BE TO ROOMS INDICATE LOFT LEVEL UPPER LEVEL MAIN LEVEL BASEMENT (1) Bath I (1) Bath Room Living (1) Bath (2) Bath (2) Bath Room Dining ) 2( Bath (1) Bedroom (1) Bath (1) Bedroom Bedroom • (1) (2) Bedroom (2) Bath (2) Bedroom Bedroom • 'I (2) Study (3) Bedroom (3) Bath (3) Bedroom (4) Bedroom (1) Bedroom Hall Room Den/Family I I Other Utility (2) Bedroom Room Dea/Family Other (3) Bedroom Garage (4) Bedroom Utility Kitchen Other Room Den/Family Garage , Utility Other owner: by done be to work any describe contract, under built be to is house If handled? be to work this of cost is How used be to costs applicable with materials of description foregoing the prepared have I that state do I dollar and quantities the in and better or grade by materials such that certify I constriction. in a in performed be shall work all that and construction, such in used be will ulated pp tiU s5 equivalents to agree I requirements. code applicable all respect every in meeting manner wor and good to agree I Further, required. as inspections applicable other or code all obtain and for call design, structural, any of Savings Federal Washington of approval the obtain and notify immediately are which plans attach and description foregoing the from changes cost or material major or layout, mortgage a grant to Savings Federal Washington induce to given is certificate This contemplated. costs. construction pay to used be will which of proceeds the loan, by: accepted and to Agreed ONSTRUCTION 0 POW1C G.A. INC. 55 BOX . 98292 WA D, STA Dated ) 4 40 Tog. Owner ( 1 EFTA01128409