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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 at 425.257.8731 if the structure does not meet the height limit.)
<br /> Date of Survey: 0O fl /d ry Vi 20 i7 PERMIT#
<br /> Property Location Surveyed: J L4 2.,(.10 L o wt bc&,rcL Awe. .
<br /> (address and/or parcel#) „r.r,
<br /> Description of Bench Mark: lop o-f-Curb c f. N.E . Cornet ty 7,(o -oyv1 ovt(
<br /> I
<br /> Bench Mark Elevation: 103 . t8 1•4&\/(:).55 Meo-fri MevSect, 1<e iJ
<br /> BOX 1 BOX 2
<br /> A= 101,1 C p, --' t�iZ�, j���
<br /> B= ifitc.3 ♦ 13 '!_
<br /> -- ^ _4, a (.pwAbwr Highest point of the
<br /> C= Lb L.3 I1 D . sidewalk EL
<br /> D= tot, 2 B 11
<br /> A+B+C+D= 4O14-,ci /4= 101 .2- Average Base Elevation *Submit a map showing
<br /> the location of the highest
<br /> +Maximum Height of 1 S (feet) point of the sidewalk
<br /> = 1 U,.4— Maximum Elevation Allowed abutting the property.
<br /> Check:2( -�-� Q
<br /> BOX 1 L7 1, 1 h a m et S • 1,.)a.r,ci , certify that I measured the grade at the
<br /> midpoints of the proposed structure at the 1Gdisturbed 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 /> / ah var 12a'7
<br /> Signature of Surveyor Date�,(X��- .,,-,,r,,,, ,., ,,
<br /> 1'
<br /> i_Ast, , 4 4,1 4, i .;.;
<br /> Company Hfor) and Assoctr2.T J.r!s`!G. ` �.'�):0,, vii,...
<br /> // ,:„r . ee/
<br /> Address 301 Al. // v Ave-411-65 `;' c�
<br /> I,t i= <
<br /> /4{I/ejtA1 W 11 e i‘b''Zi3 , • . f/,•1,;,-' ,CD
<br /> V1‘.1 28o67 J k
<br /> Phone/Email 5�‘0-V-75-577, �Md Lo rye dr;,J.(-Orel' . "! 'A4 tID
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