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ELEVATION CERTIFICATE OMB No. 166S'0008 <br />Expiration Dale: November 38, 2O22 <br />fI|IIQRTANT: ln thcse epaces, copy the corresponding information from Section A.FOR INSUR.ANCE COMPANY USE <br />Building street Address (including Apt., unit, suite, and/or Blds. No.) or p.o. Route and Box No. <br />3124 MCMANAMY RD- <br />Policy Number: <br />City State <br />WashingtonELLENSBURG <br />ZIP eode <br />98926 <br />Uompany NAIC Number <br />$ECTION C - BUILDING ELEVATION INFORi'ATION (SURVEY REQUIRED} <br />C1. Building elevations are based on: ! Construction Drawings' fJ Building Under Construction' fi Finished Gonstruction <br />"A new Elevation Cerlificate will be required whon construction of the building is complete. <br />C2. Elevations - Zones A1-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-a30, AR/AH, AR/AO. <br />Complete ltems C2.a-h below aeeording to the building diagram specified in liem A7. ln Puerlo Rico only, enter melers. <br />Benchmark Utilized: RM 16 (SX0482) Vertical Datum: NGVD 29 <br />lndicate elevation dalum used for the elevatione in items a) through h) below. <br />E NGVD 1s29 ff NAVD 1988 fl other/Source: <br />Datumusedforbuildingelevalionsmustbethesameastha <br />Check the measurement used, <br />a) Top of boftom floor (including basement, crawlspace, or enclosure floor) <br />b) Top ofthe next higherlloor <br />c) Bottom of lhe lowest horizontal struc.tural member (VZones only) <br />d) Attached garage (top of slab) <br />e) Lowest elevalion- of machinery or equipment servicing the building <br />(Describe type ol equipment dnd toiation in Gommerik) <br />0 Lowest adjacent (iinished) grade next to building (LAG) <br />g) Highest adjacent (finished) grade next to building (HAG) <br />h) Lowesl adjacant grade at lowest elevation of deck or stairs, including <br />structural support <br />1597.V S feet fl meters <br />1603.0 I feel I meters <br />N/A I feel I meters <br />1597.8 [| feet I meters <br />1597.0 $ feet fl meters <br />* <br />tLoOS.Z Jsger' <br />'tt* <br />1597.8 <br />[] feet <br />ffi feet <br />$ feel <br />I meters <br />I meters <br />I meters <br />SEGTION D - SURVEYOR, ENGINEER, OR ARCHTTECT CERT|F|CATION <br />oCHRISTOPHER C. CRUSE <br />PROFESSIONAL LAND SURVEYOR <br />CRUSE AND ASSOCIATES <br />P.O. BOX 959 <br />LS 36815 <br />ZIP Code <br />98s26ELLENSBURGWashington <br />Signalur€Date Teleph0ne <br />(509) 962-8242 <br />Ext, <br />11 <br />Copy all pag6 of thi$ EbvetioiiTenmcate snd all a$achments foi <br />Comments (including type of equipment and location, per lf applicable) <br />C2a.EARTHEN CRAVI,L SPACE; C2b. FINISHED FLOOR; C2d. CONCRETE SLAB; C2e. HEAT PUMP; Czh, DECK SUPPoRT. -*Rnd\tr".r-s shcrr:n \nrre-o.r is {o urDArS{- ;lx^-r- e,tzra\'on "(+\rLr- o6'r.ra{ed t*!a+ Ts\l^/\F \oqqdl on !ia-\\ l^rocL <br />c:ornlp\}-\e-d glgtzoZt. irt ottner i^Qn ^rch'o...., rev\,\al^S <br />+\^r- t**- <br />FEMA Form 086-S'33 (12119)Replacs all previous edilions.Form Page 2 of 5