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ELEVATION CERTIFIGATE <br />IMPORTANT; MUST FOLLOW THE INSTRUCTTONS ON pAcES 9.1S <br />FOR INSURANCE COMPANY USE(lncludlng Apt., Unlt, Sulto, and/or BldS, No.) or p.(), Route and Box No.: <br />Grav Wav <br />Clty: Ellonsburg <br />Bulldlng Streel Address <br />2913 Dapple <br />Stale: WA Zlp Codo: 98926 <br />Pollcy Number: <br />Company NAIC Number; <br />E.!i ilitEri <br />C1. Building olevallons are ba$ed on: I Conslruction Drowingsr fl Bullcllng ljnder Conslruclion, E Finlshed Oonslruclion <br />'A now Elevalion Cerlificale will bo roquired whon conslroctlon of lhe building ls complele, <br />lndlcale elevallon datum used lor the elevalions ln items a) lhrough h) below. <br />n NGVD 1s2s EINAVD 19ss flottrer: <br />Datum used for building olsvallons musl be lhe sarne as lhal used lor ths BFE. Converslon faclor used?ll Yes, descrlba ihe sourco ol lhe convsrslon lactor in lhe soolion D commenls sroa. <br />a) Top of botlom floor (including basenrent, clawlspace, or enclosure floor); <br />b) Top ol lhe nexl hlgher lloor (seo lns(ructions)l <br />c) Bottom of lhe lowes( horizonlal slruclural msmbor (soo lnslructions); <br />d) Atlached gerage (lop ol elab): <br />e) Lowesl elevalion ol Machinory and Equlpment (M&E) seMcing the bullding <br />(descritre lype of M&E end locailon in Socllon D Conimenls arla)t <br />l) Lowcst Adjacent Grade (LAG) nexl to bulldlng: I Natural EJ f inisnoO <br />s) Highesl Aruec€nt crade (HAG) next lo bulldtng: f] Naturot $ Fintshed <br />h) Flnlshed LAG at lowest elevelion ol allsched deck or rlalrs, inclucllng slructural <br />supp0rlr <br />[J leet lJ meters <br />BFE), <br />the <br />N, <br />[!] feel fl meters <br />1,588.50 @ feet I melers <br />G- <br />C2. Elovallons - Zones A1-A30, AE, AH, AO, A (with VE, V'l-V30, V (wllh BFE), AR, AR/A, AR/AE, AF/A1-A3O,AR/AI.I, AR/AO,A99, Complcte ltems C2.e-h below according to Bullding Diagram speclfled ln ltem A?. ln Puerto Rlco only,snlsr mctsrs, <br />Benchmark Ullllzod; Genter of S 27, T '18 RlBE Vortical Da{um: NAVD 1988 <br />__. 1,588.50 <br />N /.L <br />Al/A- <br />,1,5-98.30 <br />1,587.20 <br />I Yas El No <br />oheck lhe measurenrenl used: <br />[| feet [*] melers <br />I feal I meters <br />[J feot f] meters <br />. 1,588,10 [] feet fl motors <br />A//ft ll faet I morers <br />l{ero laliluda and longllude ln secllon A provlded by a lioensed land suloyor? EJ yes I No <br />flChock here lf altachm€nls snd describe in the Commenl$ area. <br />Gerllller's Narne: Rlck Sklnner License Nurnber:4361g <br />rite: Prolessljrn?l Land 9urveyor.. <br />Company Nams; Western Paclfic Englleering & Survey, lnc. <br />Copy all pages of this Elevallon Cerlificalo and all altachments lor ('t)community ofliclal, (2) lnsurance aBonucompany, and (3) bulldlng ownor <br />Clly: Mosas <br />egulprnenl and lacallon per <br />of lhe heat pump ralsod <br />C2.€; and doscrlplton of any <br />an additlonal elght lnches <br />(including atluchments): <br />bottom <br />Address; 1224 S, Pioneer <br />slate: WA Zp code: 98837 <br />Email: rs <br />source of convolsion faclor ln C2;lype of <br />Heat Pump pad was msasured at the lop wllh the wlth legs <br />cerllllcationThls tol3 be and sealed landaslgned or archltectby6Uryeyorenglnaer aulhorlzed stale lolewby elevstloncortlfy <br />lnformallon.lhat the lnformalion on this Qsrllltcalacertily 0est lool{orlstapresonlsmy dalalhe availahlo.inlerpret lhalunclorsland anytalsaslalor?enl be orlinemaybypunlshable underimprlsonmenl tl,18 s.10a1$eolipnCodo, <br />Signaluro;Dale: <br />765-1023 €xt.:Telephone: <br />FEMA Form FF-206-FY-2?-152 (forme.ty 0S6-0-33) {10/22}Pego 3 of 18