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wilding f4eight Handout - <br />Height Survey <br />(For Surveyor Use OnlylF a survey is required. Instructions: Complete this form prior to the framing inspection. This <br />form will need to be provided to the City inspector at the framing inspection. Contact the Planning Department at <br />425,257.8731 if the structure does not meet the height limit.) <br />Date of Survey: <br />Property Location Surveyed:. <br />(address and/or parcel #) <br />Description of Bench Mark: <br />Bench Mark Elevation: <br />f 2 <br />2Z/G CI ESFNUT ,Si`. <br />PERMIT # <br />EvReIT7, WA <br />c'T A WAIL C eAsroF FAcI of Mar area dN T�e <br />£XT0NS100 or- 1- c soUtH Slat of e <br />100.00i Haysr AT ZZIG &eSrnJkt-k, <br />Fill in the information from the approved Base Elevation Survey for Box 1 or 2 and complete Box 31 <br />A = tot} . 3 5 BOX 1 <br />B = loo-M <br />C= l d•z3 <br />D = VO . ti <br />A+B+C+D = 01 ' 1% / 4 = I o0.30 Average Base Elev. <br />` <br />+ Maximum Height of 2S (feet) <br />= 12`9.30' Maximum Elevation Allowed <br />Box 2 <br />Highest point of the sidewalk <br />EL <br />*Submit a map showing the <br />location of the highest point of <br />the sidewalk. <br />BOX 3 R <br />Actual Elevation*: (elev.) Height of Structure*: 27 (feet) <br />*Measure from the average base elevation to the roof peak or from the sidewalk to top of roof. <br />Check: <br />I, MA -TT- Sr-H NG-( 06TZ-5 certify that I measured the height of the structure from <br />the approved average base elevation / 0 highest point of sidewalk to the top of the <br />ridge/roof. The structurexmeets the height limit / 0 doesn't meet the height limit. <br />S I -31- 202Q <br />Signature of Surveyor Date <br />Company h5P1 LAND Ydtzyeyi�j, <br />Address 52o5 S. 2an AVt, f#)T,5- A <br />vC-( FTr , WA WO 3 <br />Phone/Email fy)A iTS e A LMAS U$, CO-M <br />