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ELEVATION CERTIFICATE <br />IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9-19 <br />FOR INSURANCE COMPANY USEBuilding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: <br />3007 Roan Dr. <br />City:Ellensburg State: WA Zlp Code: 98926 <br />Company NAIC Number: <br />-_- <br />Policy Number: <br />SECTION H - BUILDING'S FIRST FLOOR HEIGHT INFORMATION FOR ALL ZONES(suRVEy NOT REQUTRED) (FOR TNSURANCE PURPOSES ONLY) <br />The property owner, owner's authorized representative, or local floodplain management official may complete Seclion H for all flood zones <br />to determine lhe building's first floor height for insurance purposes. Sections A, B, and I must also be completed. Enter heights to the <br />nearest lenth of a loot (nearest tenth of a meter in Puerto Rico). Reference the Foundation Type Diagrams ht the end of Section Htnstruclions) and the appropriate Building Dlagrams (at ahe end of Section I lnstructioni)'to coriplete irls section. <br />H1. Provide the height of the top of lhe floor (as indicated in Foundation Type Diagrams) above the Lowest Adjacent Grade (LAG): <br />a) For Building Diagrams 1A, 18, 3, and 5-9. Top of bonom 1.50 EJ feet I meters EJ above the LAG <br />floor (include above-grade floors only for buildings with <br />subgrade crawlspaces or enclosure floors) is: <br />H2. t?rall Machinery and,Equipme,nt.serYicing the building (as.listgd in. ltem H2 instructions) elevated to or above the floor indicated by the <br />H2 arrow (shown in the Foundation Type Diagrams al end of Section H instructions) foi the appropriate Building Diagram? <br />f, Yes E tto <br />fl feet I meters I above the LAGb) For Buildlng Diagrams 2A,28,4, and 6-9. Top ol next <br />higher floor (i.e., the floor above basemenl, crawlspace, or <br />enclosure floor) is: <br />sEcrloN l - PRoPERTY OWNER (OR OWNER'S AUTHORTZED REPRESENTATTVE) CERT|F|CAT|ON <br />The properly owner or owner's authorized representative who completes Sections A, B, and H must sign here. Ihe sfalenenls ln Seclions <br />A, B, anl H are c,orrect to the best of my knowledge. Note: lf the local floodplain management official completed Section H, they shouldindicate in llem G2.b and sign Section G. <br />I Check here if altachments are provided (including required photos) and describe each attachment in the Comments area. <br />Property Owner or Owner's Authorized Representalive Name <br />Address: <br />City:State:_ ZIP Code: <br />Signature: <br />Telephone:Ext.: _ Email <br />Date: <br />Comments: <br />FEMA Form FF-206-FY-22-152 (formerty 086-0-33) (i1t12l Page 6 of 19