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/DoBuilding Height Handout-2age.3-ef-4''r` ' <br /> City of Everett,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: '" Zi PERMIT# <br /> Property Location Surveyed: 2-43-3 It! fhij /GT�aI i.i./.:y ° � <br /> (address and/or parcel#) 9-&15 <br /> Description of Bench Mark: --70/7. IR 5p/K /N y'hd,PE spy op s1T'U <br /> Bench Mark Elevation: /88,`' <br /> BOX 1 BOX 2 <br /> A= 179.87 <br /> B= /77,18 Highest point of the <br /> C= 1&3.940 sidewalk EL <br /> D= t S4-53 <br /> A+B+C+D= 727. S9 /4= 181. 90 Average Base Elevation *Submit a map showing <br /> the location of the highest <br /> +Maximum Height of 2e. (feet) point of the sidewalk <br /> = 2-09. 90 Maximum Elevation Allowed abutting the property. <br /> Check: <br /> BOX 1 [ I, ogA7i,&/x', f t//�/,R/C� , certify that I measured the grade at the <br /> midpoints of the proposed structure at the ❑undisturbed ground elevations/ [H pproved <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 /> f7-0770rit/A44' . <br /> Signature of S�eyor D. 14 R` `\ <br /> r <br /> 4P' t <br /> Company �14dif0 ? fR� `Ne-, A <br /> Address I Q 1( I✓ h,J GZ:D. v+E A- <br /> • <br /> LAKE 1 V. /JA, WA- 4,026-8 ,� y ' <br /> • i <br /> Phone/Email +Z5--4a3--(isal nor r /6?5rp4, Cowl -: Atamp <br />