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Building Height Handout-t'age 4 of 4 <br /> (1o, of Everett,VI"l <br /> Height Survey <br /> (For Surveyor Use Only IF a survey is required. Instructions:Complete this form prior to the framing inspection. This <br /> form will need to be provided to the City inspector at the framing inspection. Contact the Planning Department at <br /> 425.257.8731 if the structure does not meet the height limit.) <br /> Date of Survey: Z I Z4/17 PERMIT# <br /> Property Location Surveyed: 13I <br /> (address and/or parcel#) <br /> Description of Bench Mark: "PK"NA1LJ wAsl-Irl , wf g) <br /> -ro Fr+c� a ��J2,3i c7PP oS i TE 5 0. PRDP Ll N r r 7�TGr- r<D <br /> Bench Mark Elevation: I�•ov` <br /> Fill in the information from the approved Base Elevation Survey for Box 1 or 2 and complete Box 3) <br /> A= l p�•Q,p' BOX 1 BOX 2 <br /> B= t07.`$7` <br /> C= Highest point of the sidewalk <br /> D= (OS.00 EL <br /> A+B+C+D= 4W,"/4= 107-7+7.74 Average Base Elev. <br /> *Submit a map showing the <br /> +Maximum Height of 'L5 (feet) location of the highest point of <br /> 135; 74 Maximum Elevation Allowed the sidewalk. <br /> BOX 3 <br /> Actual Elevation*: 135,2'5- (elev.) Height of Structure*: Z 7. 51 (feet) <br /> *Measure from the average base elevation to the roof peak or from the sidewalk to top of roof. <br /> Check: <br /> I, 91tYA-&v IZ. 514 -tJ , certify that I measured the height of the structure from <br /> the%approved average base elevation/ ❑ highest point of sidewalk to the top of the <br /> ridge/roof.The structure'Ameets the height limit/❑ doesn't meet the height limit. <br /> �� �&,- 212.7 J 17 <br /> Signature of Surveyor Date <br /> Company 4StTE �ilevEl�Ca� LLr✓ gOBER <br /> �g.�a�wasNJ�s <br /> Address 412-7 S: r►a F t D I STF G—'P � � ;� <br /> 49290 <br /> Phone/Email �-57-> � 4�-21��' sl6l <br /> Z-1-21T77' <br />