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ceiD <br /> co <br /> Building Height Handout-Papc 3 of 4 <br /> 12'.•etTiK NV 1, <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: 3 PERMIT# °30 <br /> 2.4-1Z,k4 57. <br /> Property Location Surveyed: 2_<1,352-o00'-i00-1(x) EA.4?p,.-e.„kA lA.) <br /> (address and/or parcel#) <br /> Description of Bench Mark: MAIKfr\oi-C, C.ovCiz- <br /> Bench Mark Elevation: <br /> BOX 1 BOX 2 <br /> A= <br /> B Highest point of the <br /> Z.-1B sidewalk EL <br /> D <br /> A+13+01-D= 5\ 4'4= \ Average Base Elevation *Submit a map showing <br /> the location of the highest <br /> +Maximum Height of (feet) point of the sidewalk <br /> :1(0 Maximum Elevation Allowed abutting the property. <br /> Check: <br /> BOX 1 E —Tisc , certify that I measured the grade at the <br /> midpoints of the proposed structure at the giundisturbed ground elevations/Dapproved <br /> topography elevations for the property above. <br /> BOX 2 0 1, , certify that I measured the highest paint <br /> of the sidewalk fo the pr,pert cbove. <br /> 401, <br /> Sig -ture of Surveyor4.1's ate <br /> ,s0.11. EL/ <br /> Company ASCSc'T'vQ'P'5 Pkwu"."3 4.t.V::-*;-..*-•*, -4:1,P 1 <br /> -740 pilk 44'. <br /> Address 52-s,..). 5, <br /> 04,4y .C4 <br /> ° <br /> ti> <br /> °P; <br /> Phone/Email Lit 2.4;2. i-41 4,10 <br /> 0.)?LC,. <br /> I <br />