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IMPORTANT: ln these spaces, copy the correspondlng lnformatlon from Sectlon A.FOR INSURANCE COMPANY USE <br />Building Elroet Address (lncludlng Apt., Unlt, Sulte, and/or Bldg, No,) or P.O, Routo and Box No. <br />2917 Dapple Gray Way <br />Policy Number: <br />City <br />Ellensburg <br />Stato <br />Washington <br />ZIP Code <br />98926 <br />Company NAIC Number <br />lf using lho Elsvalion Cerlificate to oblaln NFIP llood lnsurance, affix at least 2 building pholographs below according to the <br />inslruclions for llem 46. ldenlify all photographs with dats laken; "Fronl View" and "Roar View"; and, ilrequlred, "Rlghl Side View" and <br />"Left Side View." When applicable, pholographs musl show lhe foundallon wilh represenlative examples of the flood openings or <br />vents, as indicated in Seclion AB. lf submitling more photographs lhan will fit on this page, use lhe Conlinualion Page. <br />Photo om <br />Photo One Caption Fronl View Clear Photo One <br />I <br />Photo Two Gaption Side View Clear Photo T\flo <br />ELEVATION CERTIFICATE <br />BUILDING PHOTOGRAPHS <br />See lnslruclions for ltem 146. <br />OMB No. 1660-0008 <br />Expirallon Date: Novembet 30,2022 <br />FEMA Form 086-0-33 (12119)Replaces all previou$ edilions.Form Page 5 of 6