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lHuiWiny. I lc:ight I Iandout- <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 /> Deportment at 425.257.8731 if the structure does not meet the height limit.) <br /> Date of Survey: October 20.2018 PERMIT# C IO2-6161 -k-h✓v -Oil <br /> l✓1$06-o1c .) -Oz3 <br /> Property Location Surveyed: 28052000203400 Units 10-12 <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=_464.O9 <br /> B= 464.42 Highest point of the <br /> C= 465.24 sidewalk EL <br /> D= 464.90 <br /> A+B+C+D = 1.858.65 /4= 464.66 Average Base Elevation *Submit a map showing <br /> the location of the highest <br /> +Maximum Height of 28 (feet) point of the sidewalk <br /> 492.66 Maximum Elevation Allowed abutting the property. <br /> Check: <br /> BOX 1 ® I, Jack Siebert , certify that I measured the grade at the <br /> midpoints of the proposed structure at the Bundisturbed 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 /> 119 <br /> Signature of Surveyor Date <br /> y • <br /> Company Tri-County Land Survevina Co. <br /> it .14 a Slop <br /> Address 4610 200th St.S.W..Suite A G p1 <br /> f;‘' fte s-! <br /> • <br /> Lynnwood,WA 98346 / •A O <br /> a 1 <br /> `<ff � C' <br /> Phone/Email (425)776-2926 r .40 <br /> t , ♦D�yAL LAB rO <br />