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IMPORTANT: ln lhese spaces, copy lhe corresponding informallon from Secllon A.FOR INSURANCE COMPANY USE <br />Building Streot Address (includlng Apt., Unit, Suite, and/or Bldg. No.) or P.O, Roule and Box No. <br />3005 Dapple Gray Way <br />Policy Number; <br />City Slate <br />Washington <br />ZIP Code <br />98926Ellensburg <br />Company NAIC Numbor <br />lf uslng lhe Elevation Cerlilicate to oblain NFIP llood insurance, affix al least 2 building pholographs Lrolow according lo the <br />inskuclions for llem A6. ldentify all pholographs with date laken; "Front View" and "Rear Viewi; and, iireguhed, ,,Right Side Visw,, and <br />"Left Side View." When appllcable, pholographs musl show lhe foundalion wilh representative exampies of lhe flood openings or <br />vonts, as indicated in Seclion AB. lf submitling more photographs lhan will fit on this page, use lhe Conlinualion Page. <br />=I <br />'1 <br />Ono <br />Photo One Captlon Front Viow Cloar Photo Ono <br />Photo Two Caption Side View ; Clear Photo Two <br />ELEVATION CERTIFICATE <br />BUILDING PHOTOGRAPHS <br />See lnslruclions for ltem A6.OMB No. 1660-0008 <br />Explrallon Date: November 30,2022 <br />FEMA Form 086-0-33 (12l19)Replaces all previous editions.Form Page 5 of 6