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Building'!eight Ilanduut-'::ac'k <br /> iit (1t i'iiiYu. 'i`t:. <br /> Base Elevation Survey <br /> (For Surveyor Use Only IF a survey is required. Instructions:Complete this form to determine the average base <br /> elevation of the proposed footprint or to locate the highest point of the sidewalk, whichever applies. This form is to <br /> be submitted with the building permit application. Include these calculations on the site plan and building plans. <br /> During framing,the Height Survey form will be required for the framing inspection.Contact the Planning <br /> Department at 425.257.8731 if the structure does not meet the height limit;) <br /> Date of Survey: --2. --t'-i PERMIT# <br /> Property Location Surveyed: 7 q 2.2. - 194'h Dr. Sa. Ele 4I Lai- 5 el <br /> (address and/or parcel.U) <br /> Description of Bench Mark: g1141 tanca e earl- i t (Drnd /yIne.,fxoo.ctwa.y <br /> yBench Mark Elevation: 3 5.°1 NAVDS <br /> A= -119 BOX 1 BOX 2 <br /> B = L—lt2.3 Highest point of the <br /> C L(22.2. sidewalk EL <br /> o= 424 <br /> A+B+C+D= tea.Z./4 22.05 Average Base Elevation *Submit a map showing <br /> the location of the highest <br /> + Maximum Height of 50 (feet) point of the sidewalk <br /> = LI SZ.05 Maximum Elevation Allowed abutting the property. <br /> Check: <br /> BOX1 I, Std nn e. �� em on , certify that I measured the grade at the <br /> midpoints of the proposed structure at the (undisturbed ground elevations/Dapproved <br /> topography elevations for the property above. <br /> BOX 2 0 I, , certify that I measured the highest point <br /> of the sidewalk for the prope y above. <br /> --aid 4,„ <br /> Signature of Surveyor <br /> ( e�sM. Shq <br /> Company ✓ Zaku rU t q `c+Ot WASyf+ti • <br /> J 0 <br /> y� ; ,, <br /> Address (6.1 /"tUd� � 'G fir; <br /> 31•er WA 1 2-0[ 34671 • <br /> r t l 11 +R47p v , <br /> Phone/Email `(25 - 5 -( 149 <br /> { <br />