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IMPORTANT: ln these spaoes, oopy lhe corespondlng lnformation from Seatlon A.FOR INSURANCE COMPANY USE <br />Building Shest Address (lncluding Apt., Unit, Sulle, and/or Bldg. No,) or P.O. Route and Box No. <br />3010 Dapple Gray Way <br />Pollcy Numbor: <br />Company NAIC NumberSlate <br />Washinglon <br />ZIP Code <br />98926 <br />City <br />Ellensburg <br />lf uslng the Elevation Csrllficate to obtain NFIP flood lnsuranco, aflix al least 2 bullding photographs below accordlng to the <br />lnstructions for llem 46. ldentlfy all photographs wilh date taken; "Front Vlew" and "Rear Vie$'; and, ll requlred, "Rlght Slde View" and <br />"Left Side View.' When appllcable, photographs must show tho foundatlon with representative examples of the flood openings or <br />vents, as indicated in Sectlon A8. lf submitting more photographs than wlllfit on this page, use the Continuatlon Page. <br />Photo one Caption Front ;clgar,Phgle 9lo , <br />Photo T1'ro <br />Photo Two Captlon Side i9earPholoTwo: <br />ELEVATION CERTIFICATE <br />BUILDING PHOTOGRAPHS <br />S6e lnstructions for ltem A6. <br />oMB No. 1060-0008 <br />Explralion Dale: November 30,2022 <br />FEMA Form 0864-33 (12119,Replaces all pr€vlous editlons.Form Page 5 of6