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4 <br /> Building Height Handout-Page.3-a+= <br /> City o€Everei'.t.,\V'f <br /> Base Elevation Survey <br /> (For Surveyor Use Only iF a survey is required.instructions:Complete this form to determine the overage 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 pia <br /> During framing,the Height Survey form will be required for the framing inspection. Contact the Planning � l/��I <br /> Department at 425.257.8731 if the structure does not meet the height limit.) l.__ (a <br /> MAY i <br /> Date of Survey: ;''/// Y/_. _ PERMIT## T t e1; <br /> YO <br /> Property Location Surveyed: 4/4'241 ‘' .i i/ '' . Per fi/c jeer ITT <br /> (address and/or parcel#) <br /> Description of Bench Mark: ij<< .5� .A4 ii_ /Ai , =;P eA .A, L.r" -I_.L.. /5� 7 +04, ,. <br /> { . `5, ( >,c- A J�1,.• (..14, %.t' .5 I. "' <br /> Bench Mark Elevation: a' . 5`/ c r: <br /> Box 1 Box 2 <br /> A= 3 ,qIk <br /> B= 7 1:. , 5,1• Highest point of the <br /> C= •',„ , 7:•'•- sidewalk EL <br /> D=_4' 1, <br /> 4 , 45 <br /> A+B+C+D= !F 9, " _L=r 4= :_4...�. I *Submit <br /> / , _ '�' Average Base Elevation a map showing <br /> the location of the highest <br /> +Maximum Height of 1,5 (feet) point of the sidewalk <br /> = ,36 fir,i 7 Maximum Elevation Allowed abutting the property. <br /> Check: <br /> BOX 1 a i, NI,P"'r ',4-il R, kfl/i i i h: , certify that I measured the grade at the <br /> midpoints of the proposed structure at the 121indisturbed ground elevations/Dapproved <br /> topography elevations for the property above. <br /> Box 2 0 I, , certify that I measured the highest point <br /> of the sidewalk for the property above. <br /> Signature of Surveyor Dat '"' 'or3: <br /> Company c k.4//,'' '4 A�, /21/4:'-- r0� , <br /> Address r 12,.. ! -3°ir,;e',L./ : 1 . 1 ,�t <br /> A- l;tW J. :..' lit-', ? , -)e) �, 4,+, Sam. <br /> 1111 " I C <br /> Phone/Email 4-.1, 408•-//52..- seal/ ` e <br /> ):--- <br /> i/ <br />