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411) <br /> Building Height Handout- <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 farm 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: 6/eolf 6) PERMIT# —(7"/ <br /> Property Location Surveyed: sea No 446, 4104s862#41/0 341100 <br /> (address and/or parcel#) . <br /> Description of Bench Mark: F/01/44 74,4Aor 4q1.0 <br /> Bench Mark Elevation: <br /> BOX 1 BOX 2 <br /> A= <br /> B= 49 Highest point of the <br /> C 499. sidewalk EL <br /> D= 499.a <br /> A+B+C+D= .196)%2/ 4t1.0 Average Base Elevation *Submit a map showing <br /> the location of the highest <br /> +Maximum Height of (feet} point of the sidewalk <br /> ' it.e3 Maximum Elevation Allowed ' abutting the property. <br /> Check: <br /> BOX 1 0 I, 1-10k4s Wot_16-mbogP / P[f certify that I measured the grade at the <br /> Oundisturbed ground elevations/Dapproved <br /> fen ovroole <br /> topography etevabons or the proprty above. <br /> BOX 2 0 i, , certify that I measured the highest point <br /> of the sidewalk for the p operty above. <br /> Ti-24-/(5 • <br /> Signature of Surveyor Date <br /> • <br /> Company s5eirkyifnj <br /> Address AtZ' 4/114 <br /> OMM411/4101 -;0744 <br /> Phone/Email 42.5 21.04412 seal/stamp <br />