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ELEVATION CERTIFICATE <br />OMB No. 1660-0008 <br />Expiration Date: November 30, 2022 <br />IMPORTANT: In these spaces, copy the corresponding information from Section A. <br />FOR INSURANCE COMPANY USE <br />Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. <br />Policy Number: <br />14710 MANASTASH RD. <br />City State ZIP Code <br />Company NAIC Number <br />ELLENSBURG Washington 98926 <br />SECTION G — COMMUNITY INFORMATION (OPTIONAL) <br />The local official 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 items) and sign below. Check the measurement <br />used in Items G8—G10. In 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. (Indicate the source and date of the elevation <br />data in the Comments area below.) <br />G2 ❑ 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_ ® The following information (Items G4—G10) is provided for community floodplain management purposes. <br />G4. Permit Number <br />G5_ Date Permit Issued <br />G6, Date Certificate of <br />Compliance/Occupancy Issued <br />FD-21-00034 <br />11-10-2021 <br />12 22-2022 <br />G7. This permit has been issued for: ® New Construction ❑ Substantial Improvement <br />G8. Elevation of as -built lowest floor (including basement) 2456.8 feet meters <br />of the building: ® ❑ Datum NAVD 88 <br />G9. BFE or (in Zone AO) depth of flooding at the building site: 2460.0 ® feet ❑ meters Datum NAVD 88 <br />G10. Community's design flood elevation: 2461.0 ® feet ❑ meters Datum NAVD 88 <br />Local Official's Name Tile <br />SAMANTHA COX WATER RESOURCES SPECIALIST <br />Community Name Telephone <br />KITTITAS COUNTY (509) 962-7523 <br />Signature Date <br />12.22-2a22 <br />Comments fiincluding type of equipment and location, per C2(e), if applicable) <br />G8 is crawlspaee floor, top of finished floor is 2461.6 NAVD88 <br />Certificate for Smart Vents attached <br />® Check here if attachments. <br />FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 4 of 6 <br />