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Building Height C <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 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: Jan 29, 2020 PERMIT# �20 ' 2 <br /> Property Location Surveyed: 3618 Shore Ave, Everett, WA 98203 <br /> (address and/or parcel#) <br /> Description of Bench Mark: Top flange bolt between MUE & LLER on FH locate <br /> on Shore Ave (NW of site) <br /> Bench Mark Elevation: 129.54 Datum: NAVD1988 <br /> BOX 1 BOX 2 <br /> A= 131.4 <br /> B= 133.7 Highest point of the <br /> C= 133.3 sidewalk EL <br /> D= 132.0 <br /> A+B+C+D= 630,4 /4= 132.6 Average Base Elevation *Submit a map showing <br /> the location of the highest <br /> + Maximum Height of 28 (feet) point of the sidewalk <br /> = 160.6 Maximum Elevation Allowed abutting the property. <br /> Check: <br /> BOX 1 ►' I, Joanne M. Swanson , certify that I measured the grade at the <br /> midpoints of the proposed structure at the �'Gndisturbed 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 the property above. <br /> 10-5-2020 <br /> Signature of Surveyor <br /> /TIIIIIIIlIlIIl1�'L�11'�:�'t�.�Z1�,r <br /> Company ORCA Land Surveying, Inc. �� M' ry <br /> � �- o WA.1�► r <br /> Address 3605 Colby Ave <br /> Everett, WA 98201 <br /> Phone/Email Joanne@orcalsi.com A� L ANp <br /> 425-259-3400 III i:'ll/ <br />