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IilPORTAIIT: ln tfisro copy the corasponding lnformation from Spclion A.FOR INSUMNCE COMPANY USE <br />Building Street Address (induding Apt., Unit, Suite. and/or Bldg. No.) or P.O.Route and Box No- <br />3124 MCMANAMY RD. <br />Policy Number: <br />clty <br />ELLENSBURG <br />Stato <br />Washington <br />ZIP Code <br />98926 <br />Company NAIC Number <br />lf using lhe ElevaUon Cerlificate to oblain NFIP iood insurance, atrlx at least 2 building photographs bolow according to the <br />ftrslrudions for ltem A6. ldentiry alt photogmphs with date taken; "Front Meu/' and ,,Rear Merr/'; and, if required, ,,Right Side ViE d' and <br />"Lsft Side Vipw." !.1/h9n applicable, photographs must shsw the foundaiion with representative oxampies of thelood openings or <br />vent6, as indicated in Sectlon A8. lf submilling more photographs than will ft on lhis page, use lha Conlinuation Page. <br />Pholo Ono Caplion PHOTO TAKEN 11n?f2OZ FRONT VIEW LOOK|NG SOUT}IVVEST Clsar Pho'to One <br />FMoTs <br />ELEVATION CERTIFIGATE <br />BUILDING PHOTOGRAPHS <br />See lnstruclions for ltem A6. <br />OMB No. 1660-0008 <br />Expiration Date: Novembe r 30, 2022 <br />FEMA Form 086{-33 (12/19}Replaces all previoue editions.Form Page 5 of5