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l <br />Building Height Handout -Palo 3 of 4 <br />oC Everett, VVA,: <br />Base Elevation Survey <br />(For Surveyor Use Only /F 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 pion and building plans. <br />During framing, the Height Survey form will be required for the framing inspection. Contact the Planning <br />Department at 425.25T.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 />2-3- Z o Z o PERMIT # <br />o a r'7 41000 00 0 <br />TH R <br />2Oz. ro <br />.7-usi - wG s x- o ic -rn c. s vv <br />p�ZrsP�" 2r-y rr.o,� N�f2 <br />Ch1$6G-6Q "X' oN RIM <br />A= 113- . BOX <br />B= lg$.7l <br />C- 201. D <br />D - Mo , 7 f <br />A+B+C+D = 710 .19 / 4 = 1?7.7V Average Base Elevation <br />+ Maximum Height of 4M ` (feet) <br />= 22 S. "7 Maximum Elevation Allowed <br />BOX z <br />Highest paint of the <br />sidewalk EL <br />*Submit a map showing <br />the location of the highest <br />point of the sidewalk <br />abutting the property. <br />Check: f <br />BOX 1 LJ 1, 111AIr YCHNO PE4 S , certify that i measured the grade at the <br />midpoints of the proposed structure at t e undisturbed ground elevations / Clapproved <br />topography elevations for the property above. <br />BOX z El l <br />of the sidewalk for the property above. <br />Signature of Surveyor <br />Company AS PI L_ C <br />Address 5205 S. 2ND _AVE fU/ 4` <br />E Uri IM , vita W03 <br />Phone/Email A-rrj ( ALPRA 9'V8. COM <br />L42-5- zsz-- 11B6 <br />certify that I measured the highest point <br />Date <br />