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Building Height Handout-Page 4 of 4 <br /> City of Everett,WA <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: - - (i PERMIT# sno Z-" CokD <br /> Property Location Surveyed: 124 Z LOvvt Lo-rd A ye-. <br /> (address and/or parcel#) (' <br /> Description of Bench Mark: I op a- C11 L c-+ jg Coe- ,e,f 14261, tr <br /> i� <br /> Bench Mark Elevation: (0 3 • 1 1 tvAkit M ea-in gerA. Le-u 4-4 <br /> Fill in the information from the approved Base Elevation Survey for Box 1 or 2 and complete Box 3) <br /> A= 101. J BOX 1 BOX 2 <br /> B= (01. 3 <br /> C= 101. Highest point of the sidewalk <br /> D= 10l•7 EL <br /> A+B+C+D= 71/-1.1 /4= Z Average Base Elev. <br /> *Submit a map showing the <br /> +Maximum Height of 15 (feet) location of the highest point of <br /> = ((3.'' Maximum Elevation Allowed the sidewalk. <br /> BOX 3 <br /> Actual Elevation*: ( (?,p (elev.) Height of Structure*: a (feet) <br /> *Measure from the average base elevation to the roof peak or from the sidewalk to t.fo ••f.MA <br /> ` j,c ' <br /> , )) <br /> Check: C( e � <br /> 2ea/ <br /> p �FV <br /> Pt- <br /> 1, : .. -. /34. it ,certify that I measured the height of the r U fr`or"a ! ` <br /> the approved average base a evation/0 highest point of sidewalk to the top of the <br /> ridge/roof.The structure 0 meets the height limit/0 doesn't meet the height limit. <br /> !© -/7-17 <br /> Signature of Surveyor ( Date <br /> Company Aleira fr 1/ dCi4- 1 - 1C., <br /> ,, `� ASE- <br /> Address tl 04/1 - D � �� w. �"�; <br /> • <br /> 4/11,4,-.4„ (A/74 _ <br /> eft q <br /> Phone/Email 3 C 0 qJ?.�-3 777 '' �-' 44PITIP, •C) <br /> ( 15 toCa w� +s �rxsv lel . Ir. hiS�a\n '�/ILLAr`D� <br /> i3\. l Th- uo -eke-06016N Sheabe Mei,b044 ` <br /> aF 61,eSe(-)4 1-. '('u- b2.noP nurk.. as tAtike) r <br /> �NNIa�- la- ,)t IS' Cti xlio etue,Wo 1t'b.t'i'. P <br /> 4 LA\) t e\e k 05 1`J1:0` rr0at .19.41) 15rwa-ea 41r13,o <br /> 4' t . rev- 6a00..-4. <br />