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Building Height Handout -Page 3 of 4 <br />City of Everett, WA <br />Base Elevation Survey <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 at425.257.8731 if the structure does not meet the height limit.) <br />Date of Survey: AUGUST 02 2019 PERMIT # C\0�\O - ©1 <br />Property Location Surveyed: 10103 1st DRIVE SE <br />(address and/or parcel #) <br />Description of Bench Mark: MAG NAIL AT WEST EP ALONG 1st DR WEST FROM SW PROP CORNER <br />Bench Mark Elevation: 528.26 <br />BOX 1 <br />A = 518.80 <br />B = 517.60 <br />C = 520.40 <br />D = 522.10 <br />A+B+C+D = 2078.90 / 4 = 519.73 Average Base Elevation <br />+ Maximum Height of 28 _ (feet) <br />547.73 Maximum Elevation Allowed <br />BOX 2 <br />Highest point of the <br />sidewalk N / A EL <br />*Submit a map showing <br />the location of the highest <br />point of the sidewalk <br />abutting the property. <br />Check: <br />BOX 1 2 I, KENNETH LONG , certify that I measured the grade at the <br />midpoints of the proposed structure at the Dundisturbed ground elevations / 2approved <br />topography elevations for the property above. <br />ROX26 I, <br />of the sidewalk for the property above. <br />Signature of Su eyor <br />Company WESTERN ENGINEERS & SURVEYORS INC <br />Address 9740 EVERGREEN WAY <br />EVERETT, WA 98204 <br />Phone/Email 425-356-2700 <br />certify that I measured the highest point <br />10/29/19 <br />Date <br />