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w_ECEIVED <br /> SEP z 7 2016 Building Height Handout-)dge 4 of 4 <br /> CITY OF EVERETT C'it of Ex croft,WA <br /> PLANNING 9EPT <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: cl '2 {° PERMIT# C_1(1705 _ao g <br /> Property Location Surveyed: S5-2 1 DCE S Ave Eves-A-, WA c\8?; <br /> (address and/or parcel#) ,..x,, max} 0,.., ce-se _1-, dui- c,.F' 4N,�-er'r.. NZA-2 <br /> Description of Bench Mark: vi•frx oc ocE tN J AveA-- Sc,-"" S r-cz* <br /> Bench Mark Elevation: 4 SSv `Q 0, U 0 <br /> Fill in the information from the approved Base Elevation Survey for Box 1 or 2 and complete Box 3) <br /> A= ' )3 ' 5 BOX 1 BOX 2 <br /> 8= 103,0 7 <br /> C= ka3.42. Highest point of the sidewalk <br /> D= ‘03,3\ EL <br /> A+B+C+D= 44ft" .53 /4= \03,;`3 Average Base Elev. <br /> *Submit a map showing the <br /> +Maximum Height of 2 (feet) location of the highest point of <br /> = 13i .33 Maximum Elevation Allowed the sidewalk. <br /> BOX 3 <br /> Actual Elevation*: t3\,3 \ (elev.) Height of Structure*: 2`7 ,`13 (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.A2o..-) £I; TS.1 S o' ,certify that I measured the height of the structure from <br /> them'approved average base elevation/0 highest point of sidewalk to the top of the <br /> ridge/roof.The structures ets the height limit/0 doesn't meet the height limit. <br /> lr�,!�lir 9--23—ra <br /> ignature of Surveyor ,rc',,,:,,.,rc,.F,a,...,\\.,.,a,i) <br /> il <br /> Company ,411 ELI �► <br /> Address c : v fit <br /> {(i; .•de 531114 <br /> Phone/Email TONAL Sa16 , ' p <br /> ti <br /> 1a L/ , <br /> i/ <br />