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ELEVATION CERTIFICATE <br />IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9-19 <br />Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Rouie and Box No <br />3009 Dapple Gray Way <br />City Ellensburg State: WA 71p 6e6s; 98926 <br />FOR INSURANCE COMPANY USE <br />Policy Number: <br />Company NAIC Number: <br />SECTION H - BUILDING'S FIRST FLOOR HEIGHT II.IFORMATION FOR ALL ZONES <br />(suRVEY NOT REQUTRED) (FOR TNSURANCE PURPOSES ONLY) <br />The property owner, owner's authorized represenlalive, or local floodplain management official may conrplete Section H for all flood zones <br />to determine lhe building's first floor height for insurance purposes. Seclions A, B, and I must also be completed. Enter heights to ihe <br />nearest lenth.of a lool (nearest tenth of a meter in Puerto Rico). Feference lhe Foundation Type Dlagrams (at the end of Sectlon Hlnstructions) and the appropriate Building Diagrams (at lhe end of Seclion t Instructioni)'to cotiptete lbis seclion. <br />H1, Provide lhe height of the lop of lhe floor (as indicated in Foundation Type Diagrams) above the Lowest Adjacent Grade (LAG): <br />a) For Bulldlng Dlagrarns 1A, 18, 3, and 5-9, Top of bottom <br />floor (include above-gracJe floors only tor buiidings with <br />subgrade crawlspaces or enclosure floors) is: <br />'t .50 [] feet I meters I above the LAG <br />b) For Building Diagrams 2A,zFi,4, and 6-9. Top of next <br />higher floor (i,e., the floor above basemenl, crawlspace, or <br />enclosure lloor) is: <br />I feet I meters ! above the LAG <br />H2. Jl^all Machinery and.Equipment.servicinglhe building (as lisled in ltem H2 instructions) elevated to or above the iloor indicated by the <br />H2 arrow {shown in the Foundalion Type Diagrams at end of Section H lnstructions) for the appropriate Building Diagram? <br />[Yes 8uo <br />sEcTloN l- PRoPERW OWNER (OR OWNER'S AUTHORTZED REPRESENTATTVE) CERT|F|CAT|ON <br />The property owner or ownel's authorized representative who completes Sections A, B, and H musl sign here. Ihe stalernenls n Sectjons <br />A, B, and H are correct to the best .of my knowledge. Note: lf the local floodplain management olficial completed Section H, they should <br />indicate in ltem G2.b and sign Section G. <br />I Check here if attachments are provided (including required photos) and describe each attachment in the Comments area. <br />Property Owner or Owner's Authorizecl Representative Name: <br />Address: <br />City:State:ZIP Code <br />Signature: <br />Telephone: <br />Date: <br />Ext.: _ Email <br />Comments; <br />FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (10122,Page 6 of 19