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IMPORTANT: In these spaces, copy the corresponding information from Section 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 />1803 SR 970 <br />Policy Number: <br />City <br />Cle Elum <br />State <br />Washington <br />ZIP Code <br />98922 <br />Company NAIC Number <br />sEcTtoN G - coMMUNrrY TNFORMATION (OPTIONAL) <br />The local oflicial who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete <br />Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement <br />used in ltems G8-G10. ln Puerto Rico only, enter meters. <br />G1 . ! The. information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, <br />engineer, or architect who is authorized by law to certify elevation information. (lndicate lhe source and date of the elevation <br />data in the Comments area below.) <br />G2,tr A community official completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) <br />or Zone AO. <br />G3. E The following informalion (ltems G4-G10) is provided for community floodplain management purposes. <br />G4. Permit Number <br />FD-20-00003 <br />G5. Dale Permit lssued <br />o2-14-2020 <br />G6. Date Cerlificate of <br />Compliance/Occupancy lssued <br />1 1-06-2020 <br />G7. This permit has been issued for: ffi New Construction ! Substantial lmprovement <br />G8. Elevation of as-built lowest floor (including basement) <br />of the building:! feet fl meters <br />ffi feet I meters <br />ffi feet I melers <br />Datum <br />G9. BFE or (in Zone AO) depth of flooding at the building site:2.0 Dalum N/A <br />G10. Community's design flood elevation 3.0 Datum N/A <br />Local Official's Name <br />Arden Thomas <br />Title <br />Water Resource Manager <br />Community Name <br />Kittitas County <br />Telephone <br />(509) 962-7523 <br />Date <br />tt- 5 -'Z(tL() <br />Comments (including type of equipment and location, per C2(e), if applicable) <br />A9c- Two engineered vents covering 200 sq. ft. each, three non engineered vents with 72.5 sq, in. of net free vent. <br />A9d- Two flood vents are in the garage door and are engineered (Smart Vent model 1540-520), the other three vents are not engineered. <br />E4- heat pump slab <br />E Check here if attachments, <br />ELEVATION CERTIFICATE <br />OMB No. 1660-0008 <br />Expiration Date: November 30,2022 <br />FEMA Form 086-0-33 ('12119')Replaces all previous editions.Form Page 4 of 6