11930 Cyrus Way - Mukilteo, WA 98275
Building Height Worksheet
Building Location: Legal:
Description of permanent bench mark:_____________________
Mean Ground Level = __________
A = ________ Prepared By:
B = ________ _______________________________
C = ________
D = ________
Note: Attach map showing bench mark and elevations of all points used to determine mean
ground level or show the work on the site plan submitted.
Draw the smallest rectangle that
encloses all of the current or proposed building walls.
NOTICE
If the height of the building is at or within three (3) feet of the maximum height
allowed of the zoning district, a certificate of mean ground level is required to be
prepared by a surveyor licensed in the State of Washington prior to permit
issuance and recertified prior to the framing inspection.
Ridge Height: ________
First Floor Elevation: ________
Bench Mark: ________
Top of Foundation: ________
Mean Ground Level: ________
Calculated Height of Building ________
USGS Benchmark onsite
11.70
11.55
10.00
11.65
11.22
11.22
11.56
15.22
11.56
48.85
37.63
By Sarah Kress at 12:23 pm, Apr 28, 2020
11930 Cyrus Way - Mukilteo, WA 98275
CERTIFICATION OF MEAN GROUND LEVEL FOR
DETERMINING BUILDING HEIGHT
I certify that I have read and understand Chapter 17.08 of the Mukilteo Municipal Code (MMC)
regarding the determination of building heights. I further certify that I measured the undisturbed
ground level of _________________________________________________
(Street Address)
according to the above code and found the arithmetic mean height to be ____ft. below/above a
permanent bench mark at _____________________________
(Location)
I further certify that the height of the proposed building for__________________
_____________________________________________________ is ______ ft.
(Legal Description)
as defined by Chapter 17.08 of the MMC.
Note: Attach map showing bench mark and elevations of all points used to determine mean ground
level. This document must be signed and stamped by a Licensed Professional Land Surveyor.
_________________________________ ________________
Signature Date
Company _________________________
Address __________________________
_________________________________
Phone____________________________
Seal /Stamp
Page 1 of 2
610 FRONT STREET, MUKILTEO, WA
11.22
USGS BENCHMARK 1935 LOCATED ONSITE
LOSVAR CONDOMINIUMS
VOL 570, PG 282, COUNTY MAP RECORDS
37.63
Digitally signed by Mark Xavier Plog, PE,
PLS
Date: 2019.09.15 18:35:26 -07'00'
PLOG ENGINEERING, PLLC
P.O. BOX 457
ISSAQUAH, WA 98027
(206) 420-7130
9/15/2019
click to sign
signature
click to edit
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