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Building FIeight Handout e:3La-, <br /> City of Everett,WA <br /> Base Elevation Survey <br /> (For Surveyor Use Only Ea 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 forth 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 forthe.framing inspection.Contact the Planning <br /> Department at 425.257.8731 If the structure does not meet the height&mit.) <br /> • <br /> Date of Survey; 1IIZO i PERMIT# <br /> Property Location Surveyed: 3 5 '*L. 4. t t &t,ercel,WA. 00413‘00005.502. <br /> (address and/or parcel#) <br /> Description of Bench Mark: g rvt 4 co , 6k. w 4.4. Svc ryper.( Cor tte r <br /> • <br /> Bench Mark Elevation: lcc1 1-1 RAvD g$ <br /> BOX 1 BOX 2 <br /> A C "5.i2 <br /> B (1 14418 Highest point of the <br /> C=.I:Q 4.0 sidewalk EL <br /> A+B+C+D= 1x.73./4- IRg.l.45-Average Base Elevation *Submit a map showing <br /> the location of the highest <br /> +Maximum Height of 28 (feet) point of the sidewalk <br /> 222.45 Maximum Elevation Allowed abutting the property. <br /> Check c›.!ttxx...i.x.5BOX 1 I, ,certify that I measured the grade at the <br /> midpoints of the proposed structure at the liKmdisturbed ground elevations/❑'approved <br /> topography elevations for the property above. <br /> BOX 2 0 1, ,certify that I measured the highest point <br /> of the sidewalk for the property above. <br /> F <br /> � C tt ( / - <br /> Signature <br /> of Surveyor Date ```01�..,,,.,: i �-*�.A 4�.,�,,, <br /> 0,. <br /> Company ZV t �- w .•fwA.i'•. <br /> Address 201 .2.. 4 2 oo ,, ,� p„,. <br /> , V. <br /> ti z <br /> toll i 414 v1/41.46,411.a...40 ,••.R�� six t�,•�.• AZri A <br /> Phone/Email 3tr2O 566 -Gt.od ' <br /> sea <br /> 4.,. A11940 <br /> i ., t i <br /> J11 <br /> O <br /> ., <br /> I <br />