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• 411 <br /> , .. <br /> a' <br /> Building g height Handout-Page of <br /> City orEverett,NVA <br /> Base Elevatiort Survey <br /> (For SurveyorUse Only IP osurveyis required.Instructions:Complete this form to determine the overage base <br /> elevation of the proposed footprint or to.locate the highest point ofthe:sidewalk whichever applies,This form is to <br /> be submitted with the building permit application.Include these crticulutions on the site plan and building plans. <br /> Duringframing,the Height Survey form will be required for die;framing inspection.Context'-the Planning <br /> Department at 425257,8731 if the structure does not meet the height lire , <br /> Date of Survey: "` <br /> / - I PERMIT* <br /> PropertyLocation Surveyed /i) 2c sr pig, , 1 (AIR <br /> (address and/or parcel- , r <br /> Description ofBench Mark: Sir In 1W aiNO Aroc PP 7 �'1� )I 7 <br /> k. <br /> NE c0404E&&:. Z Vie. tip tt y <br /> Bench Mlark.Elevation. L» "V. ' iOW' # ` '..... <br /> gp . X 2 <br /> 614 ail, <br /> g= Si `, iet Highest point of the <br /> C=;ggs, t4.S ' sidewalk, , EL <br /> D= SIB,Zio <br /> A+B+C+D 21141.x/z/4= ;.5•4 Average Base Elevation *S t it a map showing <br /> the location of the highest <br /> +Maximum Height cif. 2 , (feet) point of the sidewalk <br /> 544-% ilaximurrr Elevation Allowed abutting the property. <br /> check: <br /> BOX i, MA7r�Hli `l ? certify that I measured the grade at the <br /> midpoints of the proposed structure at theundtsturbed ground elevations/DapprOved <br /> topography elevations for the property above.: <br /> BOX 2 0 1, ,certify that I measured the highest;polrrt' <br /> of the sidewalk for the property above. <br /> erix <br /> Signature of Surveyor Date <br /> Com a Asp/ Litio Yuieveitif ..t,' - 1 ct . , <br /> �� k, <br /> r!Phone/Ernall <br /> / ; N. <br /> 7-42Z-IT <br />