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ili <br /> • • <br /> F <br /> ' BUilding Height Handout-•' <br /> ,3 Base EI'evation 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 at 425.257.8731 if the structure does not meet the height limit.) <br /> Date of Survey: 5-__C; --- J 9 PERMIT# <br /> Property Location Surveyed: 3 9 2_S - 0-1-IN . S j, 5 C ev &2 T <br /> (address and/or parcel#) <br /> Description of Bench Mark: LO��-, �v� /,ci%, or- £cLts y 6(-, S 7 5 <br /> Bench Mark Elevation: ' ` 2v) <br /> )14 <br /> BOX 1 BOX 2 <br /> A= 3-70, 2 <br /> B= 370`')S Highest point of the <br /> C= 371 70 sidewalk EL <br /> D=37/9 44 <br /> A+B+C+D= j 4-1-1 q-,9 k, /4= 37(, 2.+Average Base Elevation *Submit a map showing <br /> the location of the highest <br /> +Maximum Height of '- (feet) point of the sidewalk <br /> = 39,c., 2J-- Maximum Elevation Allowed abutting the property. <br /> Check: • <br /> BOX 1 V, I, T •.i r1 (, ,ir1-77 ►-, 5 , certify that I measured the grade at the <br /> midpoints of the proposed structure a 'theXundisturbed ground elevations/[!approved <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 ab ye. <br /> - 0-/C7/ / <br /> Signature of Surveyor p <br /> E 5 a �rA��-,.� <br /> Company A L 4 i L.k,;) in; , pFwns� `�!! i <br /> i +.7 r <br /> Address 23 J 2 - 16 5± 1. S 1 ` SC: °° , : x <br /> i t4EL / lJ`%-1 ') G�(2( �,.v, a•a <br /> Phone/Email ��— �'2 0 7 2-3 <br /> seat/stamp <br />