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1 <br /> il> Building Height Handout-Page 3 of 4 <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 at425.257.8731 if the structure does not meet the height limit.) <br /> Date of Survey: 2O/ PERMIT# <br /> Property Location Surveyed: ex5e h1t9h& p a 41. ej` re. 9e243 <br /> (address and/or parcel it) <br /> Description of Bench Mark: /04 nc:/ i A.4g int arf jie th oy,ti <br /> twee?' <br /> Bench Mark Elevation: %-.1-410.44 <br /> BOX 1 BOX 2 <br /> A= 5e6-.6,4 <br /> B= "Dy,oo Highest point of the <br /> C= TO9.g.3 sidewalk i2E6,/ EL <br /> D=X5'07'.t,// <br /> A+B+C÷D= ZOO.OS/4= J"'^d7: / Average Base Elevation *Submit a map showing <br /> the location of the highest <br /> +Maximum Height of 20 (feet) point of the sidewalk <br /> 6211..51 Maximum Elevation Allowed . abutting the property. <br /> Check:,_ <br /> BOX 1 L� 1, n,1 6-J _ j, , certify that i measured the grade at the <br /> midpoints of the proposed structure at the lifGndisturbed ground elevations/Dapproved <br /> topography elevations for the property above. <br /> BOX 2 02-" I, delet ite.,. 6Gw a i, ' t , certify that I measured the highest point <br /> of the sidewalk for the . •.erty above. <br /> Signature of Surveyor Date <br /> Company 4641. Lidtic.31(.17/atie/y M. S <br /> Address JDs t_r0/ e/we_ fv <br /> y / -1 ,6,7t7IF <br /> 40 9F3zof <br /> .q/ <br /> Phone Email 34671 ; <br /> t ,( <br />