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IMPORTANT; ln these spaces, copy the corresponding information from Section A,FOR INSURANCE COMPANY USE <br />Building Streel Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Roule and Box No. <br />14710 MANASTASH RD. <br />Policy Number: <br />City <br />ELLENSBURG <br />Slate <br />Washington <br />ZIP Code <br />98926 <br />Company NAIC Number <br />sEcTroN G - coMMuNrTY TNFORMATTON (OPTTONAL) <br />The local official who is authorized by law or ordinance to adminisler the community's floodplain management ordinance can complete <br />Sections A, B, C (or E), and G of this Elevalion Cerlificate. Complele lhe applicable ilem(s) and sign below. Check the measurement <br />used in ltems G8-G10. ln Puerto Rico only, enler meters. <br />G1. n The information in Section C was taken from other documentalion thal has been signed and sealed by a licensed surveyor, <br />engineer, or architect who is authorized by law to cerlifu elevation information. (lndicate the source and dale of lhe elevalion <br />data in lhe Commenls area below,) <br />n A community oflicial completed Seclion E for a building located in Zone A (without a FEMA-issued or community-issued BFE) <br />or Zone AO. <br />G3. I The following information (ltems G4-G10) is provided for community floodplain managemenl purposes <br />G2. <br />G4. Permil Number <br />FD-21-00034 <br />G5. Date Permit lssued <br />11-10-2021 <br />G6. Date Certificate of <br />Compliance/Occupanry lssued <br />12-22-2022 <br />G7. This permit has been issued for: ffi New Construction I Substanlial lmprovemenl <br />2456.8 <br />2460.0 <br />2461.0 <br />ffi feet I meters Datum NAVD 88 <br />ffi feet f] meters Datum NAVD 88 <br />ffi feet f] meters Datum NAVD 88 <br />G9. BFE or (in Zone AO) depth of flooding at the building site: <br />G10. Community's design flood elevation <br />G8. Elevation of as-built lowest floor (including basement) <br />of lhe building: <br />Local Official's Name <br />SAMANTHA COX <br />Ti[e <br />WATER RESOURCES SPECIALIST <br />Community Name <br />KITTITAS COUNTY <br />Telephone <br />(509) 962-7523 <br />Date <br />12-22-2022 <br />ffi Ctreck here il atlachments <br />type of equ and localion, per C2(e), if applicable) <br />G8 is crawlspace floor, lop of finished floor is 2461 .6' NAVD88 <br />Certificale for Smarl Venis attached <br />ELEVATION CERTIFICATE OMB No. 1660.0008 <br />Expiralion Dale: November 30,2O22 <br />FEMA Form 086-0-33 (12t19)Replaces all previous editions Form Page 4 of 6