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ELEVATION CERTIFICATE <br />IMPORTANTI MUST FOLLoW THE INSTRUCTIoN$ oN FAGES g.Is <br />FOR INSURANCE COMPANY U$E <br />Pollcy Numbert <br />-.*-Company NAIC Number: <br />Bullding SlreetAddress (lncluding Apt., unil, suite, and/or Bldg, No.) or tr.o. Roule and Box No.: <br />2913 Dapple Gray Way <br />clly:Ellensburo glate: WA Zlp code: 98926 <br />Bulldlng measuremenls are baood on: I oonstrucllon Drawlngs' I Bulldlng Undor Construcllon, I Flnlshsd Construction <br />'A new Elovalion Corlificalo will be requlred when conslruclion ot lhe building is complete <br />E1, Provids moasuromonls (c.Z.a ln appllcable Building Diagram) lor lhs followlng and check the apprspriate boxos to show whether lherneasurement is abov6 or below ths natural HAG and lhe LAG. <br />a) Top ol botlorn lloor {inoludlng basomonl, <br />crawlspaco, or enclosure) ls; <br />-,_ f| feot f] meters I abovo or f] below lhe HAG. <br />E?' For Buildlng Diagrams 0-9 wilh pormanenl llood openlngs provlded ln secllon A ltems B anrt/or g (seo pages 1-2 of lnstrucllons), thenexl hlgher floor (Cz.b ln applicablo <br />servicing the bulldlng ls: [-] feet fl rnolors l-l above or fl below the HAG. <br />E5. Zone Ao onlyl lf no llood depth numbor is avallable, ls lhe top of the boltom floor elevated in accordance wllh il* riommunlly'sRoodplaln manegement ordinance? [ Yes fl No [] unknown The local official must ceriify thls lnformailon ln secllon G, <br />AO' <br />orF Zones andAO,AR/AO,A {wlthoul E1-E5.llems ForcompleteBFF),llems -E4E1 naluuse ral itgrade,avallable.ihtf Cerlifioete lslolnlendedsofLstlersupporlSeclionsChangeMapcompleteroque6l,A,and Oheckc.B,he usedmoasutemenl ln Puorlo Rico onlymenloreters, <br />Buildlng Dlagram) of lhe butl<ling lsl <br />E3, Attached garag€ (top of stsb) ls: <br />E4. Top of plal{orm of machlnery and/or equlprnent <br />I foet f] melers I above or f) betow lha HAG, <br />fJ feet I meters I abovo or I batow the HAG, <br />b) Top ol bollom floor (lncluding basement, <br />crawlspaco, or enclosure) ls:ll feot f] metors fl above or f] betow the LAG. <br />completes Secllons A, B, and E for Zone A (without BFE) orZone AO mu$t <br />lo lhe best of my knwledge <br />fl Ghock hore if allachmonts arxl describe in lhe Commenls aroa. <br />Properly Ownsr or Ownor's Aulhorleed Represenlailve Name; Scolt Henson <br />Clly:Moses Lake <br />/n*-4,- <br />State; W4_*-ZIP Code: 98837 <br />7 <br />Tho proporty owner or owns/e uulhorlzed repressnlalive who <br />sign horo, The slatemenls in $ecllons /, B, and E are correcl <br />Commenlg: <br />Email; shenson@wpelnc.nel <br />Addross: 1224 S. Ploneer Way <br />$lgnalure:Dalo: P t <br />Telophone: (509) 765-1023 Exl.: <br />FEMA Form FF-2O6.FY-22-152 (fornerly 0S0-0-gg) (10/22)Page 4 of 19