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ELEVATION CERTIFICATE <br />IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9.19 <br />FOR IN$URANCE COMPANY USEBuilding street Address (including Apt., Unit, suite, and/or Bldg. No.) or p.o. Route and Box No.: <br />City Ellensburq State: WA ZIP Code: 98926 <br />2905 Dapple Grav way <br />Company NAIC Number: _ <br />Policy Number: <br />INFORMATIONNsEcTroHBUILDING'S TFIRS HEFLOOR TIGH ALLFOR ZONE s <br />NOTRVEY R(su RANCENSU oPURPOSES N(FOREQUTRED)L Y) <br />The Propeny owner. owner's authorized represenlalive, or local floodplain management official may comp,ete Section H for all flood zoneslo delermine the building's {irst lloor height for insurance purposes, Sections A, B, and I must also 6e completed. Enter heights to lhe <br />f:j::l.1i1t!,oj_a foot (nearest tenlh of a meter in Puerto.Rico) , Refere-nce the Foundation Type Dtagratms (at the ena irseclion l,hstructions) and ,he aPpropriate Building Diagrams (at the end of Secfion t Instructioni)'to cortplete tllrs iec-iion. - ------ <br />H1. Provide the height of the top of the floor (as indicaled in Foundalion Type Diagrams) above the Lowesl Adjacent Grade (LAG): <br />H2' 19^all Machinery qnd qqlflgll,:911",-1gll,e building (as.listed in ltem. H2 instructions) elevated to or above the ftoor indicated by lheH2 arrow {shown in the Foundation Type Diagrams ai end of Section H instrucrions) tol tne appiop-rilte euitdi;ig Eii[r;;? -'"- <br />flYes E wo <br />a) For Bulldlng Dlagrams 1A, 18, 3, and S-9, Top of boltom <br />lloor (include above-grade floors only for buildinqs with <br />subgrade crawlspaces or enclosure iloors) is: <br />1.30 E feet I meters fi above the LAG <br />b) For Building Diagrams 2A,28,4, and 6-9. Top of next <br />higher floor (i.e.,.the floor above basement, crawlspace, or <br />enclosure floor) is: <br />D feet l] meters il above the LAG <br />SEGTION I- PROPERTY OWNER (OR OWNER'S AUTHORIZED REPRESENTA TlvE) cERT|FtcATtoN <br />The property owner or owner's authorized representa <br />A, B, and H are correct to the besl of mv knowledae <br />indicate in ltem G2.b and sign Seclion G. <br />tive who compleles sections A, B, and H must sign here. rhe sfalemenls ln seclions <br />Note: lf the local floodplain managemenl official completed section H, they should <br />f Checf here if attachments are provided (including required pholos) and describe each atlachment in the Comments area. <br />Property Owner or Owner's Authorized Represenlative Name <br />Address: <br />City:State ZIP Code: <br />Signalure: <br />Telephone: <br />Date: <br />Ext.Email: <br />Comments: <br />FEMA Form FF-2O6-FY-22-152 (formerty 086-0-33) l1\tz7)Page 6 of 19