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Ct . , <br /> S <br /> • <br /> Building Height Handout- <br /> FEB172021 <br /> CITY OF EVERETT Base Elevation Survey <br /> P¶F6r Surveyor l seeOnl'y 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: PERMIT# <br /> Property Location Surveyed: <br /> (address and/or parcel#) <br /> Description of Bench Mark: <br /> Bench Mark Elevation: <br /> BOX 1 BOX 2 <br /> A= 191.2 <br /> B= 199.4 Highest point of the <br /> C= 203.7 sidewalk EL <br /> D= 195.7 <br /> A+B+C+D= 790.0 /4= 197.5 Average Base Elevation *Submit a map showing <br /> the location of the highest <br /> +Maximum Height of 28.0 (feet) point of the sidewalk <br /> = 225.5 Maximum Elevation Allowed abutting the property. <br /> Check: <br /> BOX 1 El 1, Robert Greene , certify that I measured the grade at the <br /> midpoints of the proposed structure at the ❑undisturbed ground elevations/ ®approved <br /> topography elevations for the property above. <br /> BOX 2 ❑ I, , certify that I measured the highest point <br /> of the sidewalk for e property hove. <br /> ,,I) 2f 10/10 <br /> Signature of Surveyor Date -�//iiiii///////// \4\\\\\\\\\c1/ <br /> .c GUY 0 ./;;. <br /> Greene Surveying `,.t of wAs 'QF <br /> Company o .fv yeti Fy <br /> \ �ti� fie: �� IA i- <br /> 4708 164t:h ST , >`; tn I z <4 <br /> Address ' `, <br /> N\,. .,9,2 _zosi ':': <br /> Lynnwood, WA 98087 <br /> 14v4t., LAB <br /> 206-498-0979 Gary@GreeneSurveying.corn <br /> Phone/Email seal/stamp <br />