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• <br /> DuiW no 1160ht handout - <br /> . <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 froming 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 itO?.- Oli -y6A) -O Z i <br /> CAN,-°6 -MN-oz3 <br /> Property Location Surveyed: 28052000203400 Units 4-6 <br /> (address and/or parcel#) <br /> Description of Bench Mark: Mon in case W13"brass disk.intersection of SR 527&108th St.S.E. <br /> Bench Mark Elevation: 460.10 <br /> BOX 1 BOX 2 <br /> A= 464.18 <br /> B= 463.72 Highest point of the <br /> C= 463.92 sidewalk EL <br /> D=_464.38 <br /> A+B+C+D= 1,856.20 /4= 464.05 Average Base Elevation *Submit a map showing <br /> the location of the highest <br /> +Maximum Height of 28 (feet) point of the sidewalk <br /> 492.05 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 undisturbed ground elevations/Dapproved <br /> topography elevations for the property above. <br /> BOX 2 0 I, , certify that I measured the highest point <br /> of the sidewalk for the property above. ., <br /> Signature of Surveyor Date <br /> Company Tri-County Land Suurveying Co. �' ' <br /> Address 4610 200th St.5.v,,Suite A G Cy4 g.1714 ; ,4 14 <br /> Lynnwood,WA 98346 , fig .•§'.� ; •) <br /> , <br /> Phone/Email (425)776-2926 , , ' eai/sta p ' <br /> 0(/-/ ' ' ,c.,..,. ..!,7,4.1,-.t';‘:t.4,:::R. <br /> ,,. <br /> 1 i f <br />