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Building Height Handout-Page 3 of 4 <br /> City of Everett,WA <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: 1/23/2024 PERMIT#a3b / 40'3f� <br /> Property Location Surveyed: Lot 10 3620A W Mukilteo Blvd, Everett, WA 98203 <br /> (address and/or parcel#) Set Mag Nail &Washer in north thickened edge of W Mukilteo <br /> Description of Bench Mark: Blvd and W side of entrance to BLDG#3617 <br /> Bench Mark Elevation: 142.10' (NAVD 88) <br /> BOX 1 BOX 2 <br /> A= <br /> B= Highest point of the <br /> C= sidewalk 152.82 EL <br /> D= <br /> A+B+C+D= /4= Average Base Elevation *Submit a map showing <br /> the location of the highest <br /> + Maximum Height of (feet) point of the s alk centerli le <br /> = 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 ❑undisturbed ground elevations/ Dapproved <br /> topography elevations for the property above. <br /> BOX 2 1 Mark Pendergraft, PLS , certify that I measured the highest point <br /> of the sidewalk for the property above. <br /> centerline �i/ � � <br /> 1/31/2024 <br /> Signature of Surveyor Date <br /> Company Atwell, LLC �SSL PEy4� <br /> 4� OF WAsy14,,c� y <br /> Address 17625 130th Ave NE <br /> 's <br /> Woodinville, WA s 4g383 <br /> S\RF6f 3T6R6� Qa <br /> 5 I LAN�� <br /> Phone/Email mpendergraft@atwell-group.com seal/stamp <br />