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Buiidir k light handout- ';. } .t <br /> It, {r4 i t1ctt. <br /> Base Elevation Survey <br /> (For Surveyor Use Only IF o 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: 4" L — t LI PERMIT# <br /> Property Location Surveyed: -7Q2q - 101+4 t r.-S 1 Evert* Lor S ! <br /> (address and/or parcel It) <br /> Description of Bench Mark: %I - Rik& Locakeel ext. N PAFtne.i' -oaul.wa <br /> Bench Mark Elevation: 3L 5.9 Nu V> 88 <br /> A= <br /> 1420' BOX 1 BQX 2 <br /> B= 1422.2- Highest point of the <br /> C= 422. 3 sidewalk EL <br /> D= -12tt. <br /> A+B+C+D= 11.$90.4 /4= 42,2. to Average Base Elevation *Submit a map showing <br /> the location of the highest <br /> + Maximum Height of j I (feet) point of the sidewalk <br /> = L462.4r Maximum Elevation Allowed abutting the property. <br /> Check: <br /> BOX 1 i, Soa r e ,atnSOrl , 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 1, , certify that I measured the highest point <br /> of the sidewalk for the property above. <br /> 4, II -11. f <br /> Signature of Surveyor "fid 4 <br /> A. M. Sjtiq <br /> Company root Le�tnd Y vgitrt � tc WA,S&I <br /> I ' _ <br /> Address y `V {n�oO • ♦u `/7 , <br /> ` *11k <br /> Phone/Email L 25-25°) _3y0C3 ,• :�; p <br />