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ELEVATION CERTIFICATE OMB No. 1660-0008 <br />Ey.piration Date: November 30, 2022 <br />IIUPORTAI{T: ln thes€ gpa9gs., clpy {q corresponding inlormation from Serfon A.FOR INSURANCE COMPANY USE <br />Building street Address (including Apt., unit, suite, and/or Bldg. No.) or p.o. Route and Box No. <br />3124 MCMANAMY RD. <br />Policy Number: <br />State <br />Washington <br />ztP <br />ELLENSBURG 98926 <br />Company NAIC Number <br />SECTION E. <br />ForZonesAO.and A (withoot B!E)rcomplete ltems E1-E5. lf the Cerlificate is intended to support a LOMA or LOMR-F request, <br />complete Sections A, B,and C. For ltems E1-E4, use natural grade, if available. Check the miisurement useO. ln Fuerto frico jnty, <br />enter meters. <br />E1. Provide elevation information lor lhe following and chedr the appropriate boxes to show whelher the elevation is above or belowthe highest adjacent grade (HAG) and lhe lowesl adjacent grade {[AG). <br />a) Top ofbottom ffoor (including basement, <br />crawlspace, or endosure) is <br />b) Top of boftom floor (including basement, <br />crawlspace, or endosure) is <br />flfeet I mebrs n above or n b€bw the HAG. <br />fl feet I meters I above or I bebw the LAG. <br />E2. For Building Diagrams &-9 with permanent <br />the next higherfloor (elevation C2.b in <br />the diagrams) of the building is <br />83. Attached garage (top of slab) is <br />flood openings provided in Seclion A ltems 8 and/or g (see pages 1-2 of lnstruclions), <br />flfeet flmeters naboveor Dbetowthe HAG. <br />I teet f] meters fl above or Ebetow the HAG. <br />E4. Top .of plq{orm of machinery and/or equipment <br />servicing the building is [ieet f]meters Iaboveor flbdowtheHAG. <br />E5' Zone AO only: lf no flood depth number is available, is the top of the bottom floor elevated in accordance wilh lhe community,s <br />floodplain management odinance? [ Yes f] No n Unknown. The local offidal must certify thi6 informatjon in Seo,tion G. <br />SECilOil F-PROPERIYOWHER {oR oufiER's REPRESENTATn/E} CERT|F|CAT|ON <br />The proper$ owner or-gwne/s authorized representativ€ vvho complelos Sections A, B, and E for Zone A (without a FEMA-issued orGommunlry-lssued tJFts) or zone Ao must sign here. The statements in Sections A, E, and E are corect to the best of my knowledge_ <br />Property Owner or Owne/s Authorized <br />Addreas City Slate ZIP Gode <br />Signalure Dale Telephono <br />Comments <br />I Chect here if attachments. <br />FEMA Form 08SG33 (12119)Replaces all previous editions,Form Page 3 of 6