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IMPORTANT: ln these spaces, Gopy lhe correspondlng information from Seclion A.FOR INSURANCE COMPANY USE <br />Building Street Address (including Apt., Unil, Suite, and/or Bldg. No.) or P.O. Route and Box No. <br />14710 MANASTASH RD. <br />Policy Number: <br />City State <br />Washington <br />ZIP Code <br />98S26ELLENSBURG <br />Company NAIC Number <br />sEcTloN E - BU|LDING ELEVATION TNFORMATTON (SURVEY NOT REQUTRED) <br />FORZONE AO AND ZONE A (WTHOUT BFE) <br />For Zones AO and A (without BFE), complete ltems E1-85, lf the Certificate is intended to support a LOMA or LOMR-F request, <br />complete Sections A, B,and C. For ltems E1-E4, use natural grade, if available. Check the measurement used. ln Puerto Rio only, <br />€nter meters. <br />E1. Provide elevation information for the following and cfreck the appropriate boxes to show whether the elevation is above or below <br />thc highcst adjacent grade (HAG) and the lowest adjacent grade (LAG). <br />a) Top of bottom lloor (including basement, <br />crawlspace, or endosure) is <br />b) Top of bottom floor (including ba;emenl, <br />crawlspace, or enclosure) is <br />! feet flmeters I above or I belowthe HAG. <br />I feet n meters I above or n below the LAc. <br />E2. For Building Diagrams 6-9 with permanent <br />the next higher lloor (elevation G2.b in <br />the diagrams) of the building is <br />flood openings provided in Section A llems I and/or 9 (see pages 1-2 of lnstructions), <br />E3. Attached g€rage (top of slab) is <br />E4. Top of platform of machinery and/or equipment <br />servicing the building is <br />I feet f] meters fJ above or I below lhe HAG. <br />! feet f| meters fl above or [below the HAG. <br />f] feet n meters n above or I below the HAG. <br />E5. Zone AO only: lf no flood depth number is available, is the top of the bottom floor elevated in accordance with lhe communig's <br />floodplain management ordinance? [ Yes n No I Unknown. The local officiai must certify this information in Section G. <br />sEcnoN F - PROPERTY OWNER (OR OWNER',S REPRESEfiTAT|VE) cERTtFtCATtON <br />The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA'issued or <br />community-issued BFE) or Zone AO must sign here. The slatem€nts in Seclions A, B, and E are conect to the beet of my knowledge. <br />Property Owner or Owne/s Authorized R€presentative's Name <br />Address City State ZIP Code <br />Signature Date Telephono <br />Comments <br />I Ctrect here if attadrments. <br />ELEVATION CERTIFICATE OMB No. 1660-0008 <br />Expiration Date: Novembe r 3O,2A22 <br />FEMA Form 08&0-33 (12l19)Replaces all previous edltions.Fom Page 3 of 6