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1 . . <br /> • <br /> Height Survey 7- 2 3 2020 <br /> B R <br /> (For Surveyor Use Only IF a survey is required.Instructions:Complete this form prroiktiatt(ie f i - his <br /> form will need to be provided to the City inspector at the framing inspection.Contd+dt'the7Plt ni 4nt at <br /> 425.257.8731 if the structure does not meet the heig ht limit.) Permit er ices <br /> Date of Survey: 9 Plazo---a---0 PERMIT# 1321=0b DI 1 <br /> Property Location Surveyed: 711-a ,,1✓ L t\) _ )*FA- ei 61 6 ) <br /> (address and/or parcel#) <br /> Description of Bench Mark: I `` OP .Q0Lc . Q_ <br /> 1 <br /> Bench Mark Elevation: 1 tYO <br /> Fill in the information from the approved Base Elevation Survey for Box 1 or 2 and complete Box 3) <br /> A= 9q=c12` BOX1 BOX2 <br /> B= (OO.o61 <br /> C= cr,(a-` Highest point of the sidewalk <br /> D= el1.oLS° q t EL <br /> A+B+C+D= Z, /4= (-.� Average Base Elev. <br /> *Submit a map showing the <br /> +Maximum Height of (3 ,92-, (feet) location of the highest point of <br /> = 113.S + Maximum Elevation Allowed the sidewalk. <br /> BOX 3 <br /> Actual Elevation*: (elev.) Height of Structure*: (feet) <br /> *Measure from the average base elevation to the roof peak or from the sidewalk to top of roof. <br /> Check: <br /> I, , certify that I measured the height of the structure from <br /> the ❑ approved average base elevation/0 highest point of sidewalk to the top of the <br /> ridge/roof.The structure 0 meets the height limit/0 doesn't meet the height limit. <br /> Signature of Surveyor Date <br /> Company <br /> Address <br /> Phone/Email seal/stamp <br />