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BUILDING PHOTOGRAPHS OMB No.16W-0008 <br />ELEVATION CERTIFICATE see Instructions for Item A6. Expiration Date: November 30, 2022 <br />IMPORTAAiT. 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 />3010 Dapple Gray Way <br />City state ZIP Code <br />Company NAIL Number <br />Blensburg Washington 98928 <br />If using the Elevation Certificate to obtain NFIP flood Insurance, affix at least 2 building photographs below according to the <br />Instructions for Kern A6. Identify all photographs with date takerr, Tront View" and "Rear Vlaw' ; and, If required, "Right Side MeW and <br />"Lett Side View." When applicable, photographs must show the foundation with representative wmnVies of the flood openings or <br />vents, as indicated in Section A8. If submitting more photographs than will It on this page, use the Continuation Page. <br />A. �x <br />n <br />- 1 <br />ritit <br />r _ <br />` s :j <br />s <br />Photo On <br />Photo One Caption Front ;Clear Pjigto one.: <br />.-.:. .- ................ .. PhotoT" <br />Photo Two Caption Side :•®�r Two.: <br />FEMA Form 086-0-33 (12149) Replaces all previous editions. Form Page 5 of 6 <br />