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IMPORTANTT ln these epacos, copy the corresponding informatlon from 9ectlon A FOR INSURANCE COMPAI.{Y USE <br />Building Street Address (lncluding Apt, Unit, Suite, and/or BIdg. No.) or P.O. Route end Box No. <br />3008 Dapplo Gray Way <br />Pollcy Number: <br />City <br />Ellensburg <br />State <br />Washington <br />ZP Code <br />98926 <br />Company NAIC Number <br />lf submitting more photographs than will fit on the preceding page, afflx the additional photogrephs bolow. ldentiff all photographs <br />with: date teken; "Fronl View" and 'Rear Mew'; and, lf required, "Right Side View" and "Left Side View." When applicable, <br />photographs must show lhe foundation urlth representative examples of the ftood openings or venls, as lndlcated in Section AB, <br />Pholo Three Captlon Back of House Clesr PholsTirB€ <br />Photo Four Caption Side of house Cl6er Photo Four <br />ELEVATION CERTIFICATE <br />BUILDING PHOTOGRAPHS <br />Continualion Pago <br />OMB No. '1660-0008 <br />Expiration Date: N<rvember 30, 2022 <br />FEMA Form 086-0-33 (12119)Replaces all previous editions,Form Page 6 of 6