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t ! Building Height Handout Base Elevation Survey (For Surveyor Use Only IF a survey is required.instructions:Complete this form to determine the average base elevation of the proposed footprint or to locate the highest point of the sidewalk,whichever applies.This form is to be submitted with the building permit application.Include these calculations on the site plan and building plans. During framing,the Height Survey form will be required for the framing inspection.Contact the Planning Department at 425.257.8731 if the structure does not meet the height limit.) /t �y �j 01 Date of Survey: November 9.2018 PERMIT# C/0 DO dO 7- Property Location Surveyed: pared No.280508-002-018 (address and/or parcel#) Description of Bench Mark: City of Everett Station 63142 01,Mon in Case at Maden St.and Wetmore St. Site Bench Mark-Sanitary Sewer Manhole north side of site Bench Mark Elevation: City's BM=382.80 feet, Site BM=360.32 feet BOX 1 BOX 2 A= 359.61 B= 359.57 Highest point of the C= 356,23 sidewalk N/A EL D= 355.46 3 57, A+B+C+D= 1.430.87 /4= 5— Average Base Elevation *Submit a map showing the location of the highest +Maximum Height of 28.00 (feet) point of the sidewalk 3g-7 = 385-18 Maximum Elevation Allowed abutting the property. Woks (;ovrt -I-e dick(' - b tititottik ,(Arr0 re-, j -r1 Ori nM s � Check: /2/4,'.r11111 BOX 1 ® I, Jack Siebert ,certify that I measured the grade at the midpoints of the proposed structure at the ®undisturbed ground elevations I®approved topography elevations for the property above. BOX 2 ❑ I, N/A .certify that I measured the highest point of the sidewalk for the property above. tf/Jzfg Signature of Surveyor Date Company Tri-County Land 5urveyine Co. �G,�1E N. Srf Address 4610 200th St.S.W..Suite A lynnwnnri WA,9!3036 % LAS . Phone/Email 425-776-2926 sews-tamp �tll�lt�6