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1 tu i Iiht Ftandout <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 framinginspection.Contact the Planning Department at <br /> 425.257.8731 if the structure does not meet the height limit.) <br /> ;cv / <br /> Date of Survey: PERMIT# <br /> Property Location Surveyed: <br /> (address and/or parcel#) <br /> Description of Bench Mark: <br /> Bench Mark Elevation: <br /> Fill in the information from the approved Base Elevation Survey for Box 1 or 2 and complete Box 3) <br /> A= BOX 1 BOX 2 <br /> B= <br /> C= Highest point of the sidewalk <br /> D= 1';11 •F.> EL <br /> = /4= Average Base Elev. <br /> *Submit a map showing the <br /> k.•-• <br /> +Maximum Height of # # (feet) location of the highest point of <br /> = .60 Maximum Elevation Allowed the sidewalk. <br /> 60X3 <br /> Actual Elevation*: • (elev.) HeiA t of Structure*: j•-' (feet) <br /> *Measure from the average base elevation to the rooffieak or from the sidewalk to top of roof. <br /> Check: <br /> jj r-, • - f' , certify that I meas - - g o•the structure from <br /> therf approved average base elevation/ 0 highest point of sidewalk to the top of the <br /> • ridge/roof.The structure 0 meet the height limit/0 doesn't meet the height limit. <br /> 2 C, <br /> Signature of Surveyor D. <br /> ooir 742NINNINPANN—Viat44 <br /> tt.- <br /> Company ELI 'pt.! <br /> ;`,-• <br /> Address 3 . , <br /> ;4 • „ <br /> ,t7 r <br /> • <br /> z, a: <br /> 0 - , <br /> 4 4) <br /> Phone/Email -; 2.2 ,,eCal7SA%1W, <br /> ‘4,-,A,00.m.A.,...s,,,A4•A.1 <br /> „--- <br /> V <br />