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RECEIVED <br /> OCT 27 2023 Building Height Handout <br /> CITY OF EVERETT Base Elevation Survey <br /> Perrmit Services <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 structurer does not meet the height limit.)/'Date of Survey: � — 2 0 PERMIT# <br /> Property Location Surveyed: ( S3 U f/O21i tW dr <br /> (address and/or parcel#) <br /> Description of Bench Mark: C <br /> Bench Mark Elevation: <br /> s - <br /> �j BOX 1 BOX 2 <br /> A= SC—XJ <br /> B= C ? Highest point of the <br /> C= 5 9 `? sidewalk _ atc EL <br /> D=S 6P) <br /> A+B+C+D= 355 /4= SC E 3 Average Base Elevation *Submit a map showing <br /> the location of the highest <br /> +Maximum Height of t5' ' (feet) point of the sidewalk <br /> = r',/6 ' Maximum Elevation Allowed abutting the property. <br /> Check: <br /> BOX 1 I, , certify that I measured the grade at the <br /> midpoints of the proposed structure at the Oundisturbed ground elevations/J 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 /> 4/ ? /-2 D2 <br /> Signature of Surveyor Date <br /> Company C4C/ S -/&.L/E/ <br /> Address C3CjG y 1/ ', <br /> 1/czf2 77 i P 2 O/ <br /> Phone/Email lrar� 3%Of) seal/stamp <br />