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IMPORTANT: ln these spEces, copy lhe corresponding information from Scctlon A.FOR INSURANCE COMPANY USE <br />Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P-O. Route and Box No. <br />147.I0 MANASTASH RD. <br />Policy Number: <br />City State <br />Washington <br />ZIP Code <br />98925ELLENSBURG <br />Company NAIC Number <br />lf submitting more photographs than will fit on the preceding page, affix the additional photographs below. ldentify all photographs <br />with: date laken; "Front Mew" and "Rear Vieil'; and, if required, "Right Side View" and "Left Side View." When applicable, <br />photographs must show the foundation with representative examples of the flood openings or venls, as indicaled in Section A8. <br />Photo Tlv!. <br />Photo Three Caption Clear Photo Three <br />Fhob Fdr <br />Photo Four Caplion Clear Photo Four <br />ELEVATION CERTIFICATE <br />BUILDING PHOTOGRAPHS <br />Continualion Page <br />OMB No. 1660-0008 <br />Expiration Date: November 30,2O22 <br />FEMA Form 0864-33 (12119)Replaces all previous editions.Form Page 6 of 6