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Buil 1019 Height Handout 3 of . <br />Base Elevation Survey (A0'MOe-, <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: 4/17/18 PERMIT #'��` <br />Property Location Surveyed: Hoyt Ave, Everett, WA 98201 <br />(address and/or parcel #) <br />Description of Bench Mark: Northwest property conrer, Top of rebar and cap <br />Bench Mark Elevation: 102.921 <br />BOX 1 <br />A = 102.48 <br />g = 102.29 <br />C = 102.63 <br />D = 102.82 <br />A+B+C+D = 410.22 / 4 = 102.55 Average Base Elevation <br />+ Maximum Height of 15 (feet) <br />117.55 Maximum Elevation Allowed <br />Check: <br />BOX 2 <br />Highest point of the <br />sidewalk EL <br />*Submit a map showing <br />the location of the highest <br />point of the sidewalk <br />abutting the property. <br />Box 1 El 1, Joseph R. Dersham, PLS , certify that I measured the grade at the <br />midpoints of the proposed structure at the ®undisturbed ground elevations / Dapproved <br />topography elevations for the property above. <br />Box 2 ❑ I, certify that I measured the highest point <br />of the sidewalk for the property above. <br />Signature of Surveyor <br />Company Benchmark Surveying LLC <br />Address 11915 44th Drive SE <br />Everett, WA. 98208 <br />Phone/Email (206) 396-3199 <br />4/17/18 <br />Date <br />