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Building Height Handout -Page 3 of 4 <br />Citv 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: <br />Property Location Surveyed: <br />(address and/or parcel #) <br />Description of Bench Mark: <br />Bench Mark Elevation: <br />1 /23/2024 <br />PERMIT # a y <br />Lot 16 3620G W Mukilteo Blvd, Everett, WA 98203 <br />Set Mag Nail & Washer in north thickened edge of W Mukilteo <br />Blvd and W side of entrance to BLDG #3617 <br />142.10' <br />BOX 1 <br />A= <br />B= <br />C= <br />D= <br />A+B+C+D = / 4 = Average Base Elevation <br />+ Maximum Height of (feet) <br />Maximum Elevation Allowed <br />BOX 2 <br />Highest point of the <br />sidewalk 152.10 EL <br />*Submit a map showing <br />the location of the highest <br />point of the sidewalk cents <br />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 / ❑approved <br />topography elevations for the property above. <br />BOX X❑ I, Mark Pendergraft, PLS certify that I measured the highest point <br />of the sidewalk for the property above. <br />centerline <br />1 /31 /2024 <br />Signature of Surveyor Date <br />Company <br />Address <br />Atwell, LLC <br />17625 130th Ave NE <br />Woodinville. WA <br />Phone/Email mpendergraft@atwell-group.com seal/stamp <br />