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NET\ <br /> OCT 2 ] 2023 J Building Height Handout- <br /> Cl Permit ServicesF 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: q - /- PERMIT# <br /> L <br /> Property Location Surveyed: 75- o /7o/2y b ' . 10T <br /> (address and/or parcel It) <br /> Description of Bench Mark: C <br /> Bench Mark Elevation: 5B$ <br /> BOX i BOX 2 <br /> A=—a—�— <br /> B= i Highest point of the <br /> C= S 6 sidewalk (J EL <br /> A+B+C+ _ '235 7 /4= 5 Average Base Elevation *Submit a map showing <br /> the location of the highest <br /> +Maximum Height of "�© 'feet) point of the sidewalk <br /> = 1-'11 Maximum Elevation Allowed abutting the property. <br /> Check: <br /> BOX i[ I, KYnAl �j , )tj S , certify that I measured the grade at the <br /> midpoints of the proposed structure at the ❑undisturbed ground elevations/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 /> (;;;;.--teM. /72?();23 <br /> Signature4Murveyor Date <br /> Company o,e( &-)LV • <br /> Address 3 6C,5 Lui,e/iklh_ <br /> Phone/Email 5 y- 3�dO seal/stamp <br />