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ITPORTANT: ln tfiese infonnrtion lrom Section A.the FOR TNqURANCE COMPANY USEBuilding Street Addrcss <br />480 CEDAR COVE RD. <br />(induding Apt., Unit, Suite, and/or Bldg.No.) or P.O. Roule and Box No.Policy Number: <br />Staie <br />WashingtonELLENSBURG 98926 <br />Code Company NAIC Number <br />* <br />Pholo Onr <br />'"+, <br />NORTH V{EW LOOKING SOt'THPhoio One Caption <br />Clcar Phdo Ona <br />Photo Two Clear Photo TwoLOOKING <br />ELEVATION CERTIFICATE <br />BUILDING PHOTOGRAPHS <br />See lnslructions for llem A6.OMB No. 166(H)008 <br />Expiration Date: Novembe r 30, 2O22 <br />FEMA Form 086-0-33 (12119)Replaces all previous editions.Form Page 5 of6