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ELEVATION CERTIFICATE <br />IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9.19 <br />Building Slreel Address (inchrding Apt., Unit, Suite, and/or Bldg. No.)or p.O. Route and Box No. <br />2915 Dapple Grav way <br />City:Ellensburq Stale: WA Zlp Code: 98926 <br />FOR INSURANCE GOMPANY USE <br />Policy Number: <br />Company NAIC Number: -_=_--- <br />SECTION H - BUILDING'S FIRST FLOOR HEIGHT INFORMATION FOR ALL ZONES(suRvEy NoT REQUTRED) (FOR TNSURANCE PURPOSES ONLY, <br />The properly owner, owner'g aulhorized representalive, or local floodplain management official may complete Section H for all flood zones <br />lo determine the building's first floor heighl for insurance purposes. Sections A, B, and I must also be completed. Enter heights lo the <br />lealesl].9nlh.of a lo.ot (nearest tenth of a meter in Puerto_Rico|. Refere,n-ce lha Foundation Type Dlagrcms (et the end ot Section Hlnstructions) ancl the appropriate Buildtng Diagrams (at lhe end of Section I lnstructioni)'to cotiptete this section. <br />H1. Provide the height of the top of the floor (as indicaled in Foundation Type Diagrams) above the Lowesl Adjacent Grade (LAG): <br />a) For Bullding Diagrams 1A, 18, 3, and S-9. Top ol bo(om <br />floor (include above-grade floors only for buildings with <br />subgrade crawlspaces or enclosure floors) is: <br />1.20 @ {eet fl meters E} above the LAG <br />b) For Building Diagrams 2A,28,4, and 6-9. Top of next <br />higher floor (i.e., the lloor above basement, crawlspace, or <br />enclosure lloor) is: <br />N I A I feet f] melers I above the LAG <br />H2. .ls all Machinery and Equipment servicing tlre building (as.listqd in. ltem H2 inslructions) elevated to or above lhe floor indicated by theH2 arrow (shown ln the Foundation Type Diagrams a-i end of Section H instructions) foi the appropriate BuildintDiagramT---- <br />nYes EJuo <br />SEGTION I - PROPERTY OWNER (OR OWNER'S AUTHORTZED REPRESENTATTVE) CERT|F|CAT|ON <br />The properly o\A,ner or owner's authorized representative who completes Sections A, B, and H musl sign here. Ilre slalemenls rn Secflons <br />A, B, and H are correct to the best ol my knowledge. Note: ll the local floodplain management official completed Section H, they shouldindicate in ltem G2.b and sign Section G. <br />I Check here if attachmenls are provided (including required photos) and describe each attachment in the Commenls area. <br />Property Owner or Owner's Aulhorized Representative Name: <br />Address: <br />City:Slale: 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) (1O\2ZJ Page 6 of 19