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Building Height Handout-}'tic°3 d- 4 <br /> ( ity of('%cvet ,VS.A <br /> Base Elevation Survey <br /> (For Surveyor Use Only iF o 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: Z "/f PERMIT# <br /> Property Location Surveyed: t-+ol /1)7LOf*t <br /> (address and/or parcel#) L <br /> Description of Bench Mark: �er A , J• r <br /> Bench Mark Elevation: j56,gr' OAP- 3) <br /> BOX 1 BOX 2 <br /> A= t <br /> B= Highest point of the <br /> C= . sidewalk EL <br /> D= t <br /> A+B+C+D= 535 41 /4 /33,77J Average Base Elevation *Submit a map showing <br /> y� the location of the highest <br /> +Maximum Height of et_ge(feet)._ point of the sidewalk <br /> = ,'� Maximum Elevation Allowed abutting the property. <br /> Check: <br /> BOX 1 J I, V'reitir 691 , 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 /> /1/W/Y <br /> Si atu e of Surveyor Date <br /> Company _ i IIIt LZ., - �Pa 114.41 p <br /> Address176 Ay 194' -,Y , , ,.,,-;- <br /> , - <br /> pi_ ereA;wieJ 9e"e'�-. .,., „l; .... <br /> ,„ . ..... - . <br /> Phone/Email 4Z5-3 / 6 06/44 1 0 - . -4- • <br /> r <br />