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• • <br /> Building Height Handout-Page 3 of 4 <br /> Cit •of E,erett,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: 3__6;:23 <br /> 7 PERMIT# Brj-V—1 CL3 <br /> Property Location Surveyed: 5726 la15/ Z7/91097/7006191-1Y62 <br /> (address and/or parcel#) <br /> Description of Bench Mark: 7-0i° cF (?E8,42 ?CAP AT NC CVRl1672 OF <br /> PRo,E X T-11 <br /> EZ = <br /> Bench Mark Elevation: /Do. co <br /> A= �� 39 BOX 1 BOX 2 <br /> B = 99.08 Highest point of the <br /> C= 98, (03 sidewalk EL <br /> D= 9Y 20 q <br /> A+B+C+D= 3%--D /4= /9�8 Average Base Elevation *Submit a map showing <br /> _ the location of the highest <br /> + Maximum Height of /s (feet) point of the sidewalk <br /> = //V•(28 Maximum Elevation Allowed abutting the property. <br /> Check: <br /> BOX 1 I,7) /9-77-- $ W,4Je7.9 72 S , certify that I measured the grade at the <br /> midpoints of the proposed structure at thendisturbed ground elevations/ Dapproved <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 /> /9?a 'gnaSC? �. 3 2 -/7 <br /> nature of Surveyor Date <br /> Company A-5717/ LA/to d/eve, <br /> Address 4/5 3L - B EVf726R�Z-7V WAy ���' 1� •..•4, <br /> ico <br /> E vcR 7 WA 98203 <br /> Phone Email 1-7/25 - 2c2 /S e <br /> �oNAL LANA <br /> ��h��i�����ai►..w r iii c/ <br />