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ELEVATION CERTIFICATE <br />OMB No, 1660-0008 <br />Expiration Date: November 30. 2022 <br />IMPORTANT: In these spaces, copy the corresponding intoe adon from Section A. <br />FOR INSURANCE COMPANY USE <br />Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. <br />Policy Number; <br />3124 MCMANAMY RD. <br />City State ZIP Code <br />Company NAIC Number <br />ELLENSBURG Washington 98925 <br />SECTION C--13UI1.DING ELEVATION INFORMATION (SURVEY REQUIRED) <br />Ci. Building elevations are based on: ❑ Construction Drawings" ❑ Building Under Construction' x❑ Finished Construction <br />'A new Elevation Certificate will be required when construction of the building is complete, <br />C2. Elevations -Zones Ai A30, AE, AN, A (with BFE), VE, V1 1/30, V (with BFE), AR, ARA, ARAE, ARIA? -A30, AR/AH, AR/AO. <br />Complete Items C2a.-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. <br />Bendimark Utilized: RM 16 (3X0482) _ Vertical Datum: NGVD 29 <br />Indicate elevation datum used for the elevations in items a) through h) below. <br />oxxl NGVD 1929 ❑ NAVD t988 ❑ other/Souree: <br />Datum used for building elevations must be the same as that used for the BFE. <br />Check the measurement used. <br />a) Top of bottom floor (Including basement, crawlepace, or enclosure floor) 1597.7 feet ❑ meters <br />b) Top of the need higher floor 1603.0 0 feet ❑ meters <br />c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters <br />d) Attached garage (top of slab) 1597.8C]x feet ❑ meters <br />e) Lowest elevation of machinery or equipment servicing the building X <br />(Desaibe type of equipment and location in Comments) ❑ feel ❑ meters <br />f) Lowest adjacent (finished) grade next m building (LAG) 1597.4 2 fleet ❑ meters <br />g) Highest adjacent (finished) grade next to building (HAG) 1597.8x❑ feet E] meters <br />h) Lowest adjacent grade at lowest elevatian of deck or stairs, including <br />x <br />structural support 1587.0 ❑ feet ❑ meters <br />SECTION 0 - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <br />This certification Is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. <br />I certify 9W the information on this Cergf ate reptasents my best eitbrts to incerpret the date avallebte. / rxrd Land that any /efts; <br />statement may be puMshable by fine or hVi1sonmenf ander 18 U.S. Code, SecUm 1009. j <br />Were latitude and longitude in Section A provided by a licensed land surveyor? N Yes ❑ No Check here if attach nth � <br />Cartifieft Name License Number <br />CHRISTOPHER C. CRUSE LS 36815 <br />Title �S.siO C <br />PROFESSIONAL LAND SURVEYOR <br />Company Name +i O xn <br />CRUSE AND ASSOCIATES �+ <br />ae <br />Address`' <br />P.O. BOX 954 36t3iS' <br />fij3, f �o <br />CRY State ZIP Code <br />ELLENS6URGr ! Washington 98926 TONAL LAS <br />r' `: .° <br />Slgnaturs Date 9 �Z Telephone halt. <br />(509) 962-8242 <br />Copy an OnglCuf this Elevabcn rtlticate and all aftachments for (1) community official, (2) insurance agent/company, and (3) building owner. <br />Comments (including type of equipment and location, per C2(e), N applicable) <br />C2a.EARTHEN CRAWL SPACE; C2b. FINISHED FLOOR; C2d. CONCRETE SLAB; C2e. HEAT PUMP; C2h, DECK SUPPORT. <br />:;c [�.G�`�w[-S Qa�AOu►]fr �Rlt� �C7C� (46 VPC1C .`1/�? ���ll/l"i1i`[7✓�� C� <br />di�1 U -6 -A -48—V It act' Ix ',V rT . � V452LL OY1 -: <br />