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Buildeight Handout-''.f_:k ,i t . <br /> it% .,i 1..l c i c ti, °i <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: /--2.4-711 PERMIT# <br /> Property Location Surveyed: ICI 0 3 - B 'FL. SEI Fel Lo-r- \ j <br /> (address and/ar parcel#) <br /> Description of Bench Mark: .sssmi ux.. N Loner-cLonee-ck Pit pine. t(e;1h' Zraadwa <br /> Bench Mark Elevation: 3�-{5 1,4Av'D 4 $ <br /> BQX'1 BOX <br /> A- Id <br /> B'= 110.2- Highest point of the <br /> C- LtCi7. 5 sidewalk EL <br /> D= 1404.(.0 <br /> A+B+C+D 11033.3 /4= 1408.33 Average Base Elevation *Submit a map showing <br /> the location of the highest <br /> +Maximum Height of 30 (feet) point of the sidewalk <br /> '1438.33 Maximum Elevation Allowed abutting the property. <br /> Check: <br /> sox 1 44 I, Soon ne. t A. S wanSon , certify that I measured the grade at the <br /> midpoints of the proposed structure at the l undisturbed ground elevations/Dapproved <br /> topography elevations for the property above. <br /> BOX 2 0 I, ,certify that I measured the highest point <br /> of the sidewalk for the property above. <br /> Signature of Surveyor <br /> Sitd <br /> Company a RCA L( ncl Sti `tie lingTt O WAV- <br /> Address S(pOt Cot b. ' � t O fGe <br /> ,. <br /> Ave.. 'SVE'r ' "1 3 9sza I • 34671 <br /> ;L{ <br /> Phone/Email 425-251 -34vo • <br />