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Budding I(L'i!Pub ((and.ut - <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: October 20.2018 PERMIT# C t' OZ-' 'i 4i)4) -Oil <br /> C 1403- as' khv -02,3 <br /> Property Location Surveyed: 28052000203400 Units 7-9 <br /> (address and/or parcel#) <br /> Description of Bench Mark: Mon in case W/3"brass disk,intersection of SR 527 and 108th St.S.E. <br /> Bench Mark Elevation: 460.10 <br /> BOX 1 BOX 2 <br /> A= 463.47 <br /> B= 4§4.13 Highest point of the <br /> C= 463.60 sidewalk EL <br /> D= 462.94 <br /> A+B+C+D= 1.854.14 /4= 463.54 Average Base Elevation *Submit a map showing <br /> ilk the location of the highest <br /> +Maximum Height of 48- 2/7 (feet) point of the sidewalk <br /> = 491.54 Maximum Elevation Allowed abutting the property. <br /> Check: <br /> BOX 1 IXl I, Jack Siebert , certify that I measured the grade at the <br /> midpoints of the proposed structure at the Oundisturbed ground elevations/Dapproved <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 /> till/tit: <br /> V' r ‘ i/g <br /> Signature of Surveyor Date <br /> Company Tri-County Land Surveying Co. <br /> ' a iAddress 4610 200th St.S.W.,Suite A C.1 . e$ '°W�ck/�.. 4 <br /> Lynnwood.WA 98346 ;.• j • za . <br /> .\os \ , A , . 4„, i <br /> Phone/Email (425)776-292. , ` c ,r � i <br /> ,...%.,,�.,, .�.r.6�fw...,.,'' <br /> kT .1 Si'/ <br />