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t <br /> s <br /> Building Height Handout-Page 4 of 4 <br /> City of Everett,WA <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: ig it I I i 7 PERMIT# <br /> Property Location Surveyed: 57 t`Ji± Dr. / 0og1 i 7 OC° O00 a <br /> (address and/or parcel#) ^ <br /> Description of Bench Mark: tc' G' rrr <br /> " Adm., c t-cy, @ NW's. C,c rs,t.E iPC rir,„ ,,r <br /> r <br /> Bench Mark Elevation: at. = (co,00 <br /> Fill in the information from the approved Base Elevation Survey for Box 1 or 2 and complete Box 3) <br /> A= 99. 39 BOX 1 BOX 2 <br /> B= .4:) <br /> C= ,&>j Highest point of the sidewalk <br /> D= q`, 2-c EL <br /> A+B+C+D= 396. 31,/4= (ICT 0 Average Base Elev. <br /> i *Submit a map showing the <br /> +Maximum Height of is (feet) location of the highest point of <br /> = WOE ' Maximum Elevation Allowed the sidewalk. <br /> BOX 3 <br /> Actual Elevation*: jl 41g9 , (elev.) Height of Structure*: 1301 i (feet) <br /> *Measure from the average base elevation to the roof peak or from the sidewalk to top of roof. <br /> Check: ,� <br /> I, 1-/�Lr ik7 c- f wLt7 , certify that I measured the height of the structure from <br /> the IR/approved average base elevation / ❑ highest point of sidewalk to the top of the <br /> ridge/roof.The structure meets the height limit/ 0 doesn't meet the height limit. <br /> .11,... Cn't,A-412--) ' ' /s I . <br /> ignature of Strveyor E :te ,�' ::y, `'=`ff <br /> c - <br /> Company 4-5,�.�_ t her✓t t�tvu, ' _ } <br /> AddressRO� S': L Ave- <br /> Si' \ , '14 ' 1, <br /> 1 <br /> A <br /> Phone/Email �(Z�-ZI--1e E,4 twit ec,,tr401- 6,ct. s � .t .' <br /> alj <br />