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IMPORTANT; ln theso spac€s, copy lhe correspondlng informatlon frorn Sectlon A.FOR INSURANCE COMPANY USE <br />Building Slreol Address (including Apl., Unit, $uite, and/or Bldg. No.) or P.O. Route and Box No. <br />3006 Dapple Gray Way <br />Policy Numbor: <br />City <br />Ellensburg <br />State <br />Washington <br />ZIP Code <br />98926 <br />Company NAIC Number <br />sEcTloN c - BUTLDTNG ELEVATTON TNFORMATTON (SURVEY REQUIRED) <br />N/A f] feel ! moters <br />N/A I feet ! meters <br />rs94.B [] feel I meters <br />b) Top of the next higher floor <br />c) Bollom ol lhe lowest horizonlal struclural member (V Zones only) <br />d) Altached garage (top ol slab) <br />e) Lowost elevalion of machinery or equipment servicing the building <br />(Descrlbo typo of equipmonl and localion ln Commenis) <br />f) Lowest adjacent (finished) grade next to bulldlng {LAG) <br />g) Highesi adjacent (finlshed) grado nexl to bullding (HAG) <br />h) Lowost adjacont grade al lowest elevation of deck or stairs, includlng <br />slructural support <br />c1. Building elevations are based on: ! Conskuclion Drawings' fl Building Under Conslruclion' @ Finisheo Conslruction <br />'A new Elevalion Certificale will be required when conslruction of ths building is complete. <br />C2. Elovations - Zonos A1-A30, AE, AH, A (wilh BFE), VE, V1-V30, V {with BFE), AR, AFyA, AFVAE, AR/A1-A30, AR/AH, AFUAO, <br />Complete ltems C2.a-h below according lo tho building diagram specified in ltem A7. ln Puerto Rico only, enier melers. <br />Bonchmark Ulillzed: Center of S 27,T 18 N, R 18 E Vertical Datum: NAVD 19BB <br />lndicato olevalion datum used for lhe elevalions in items a) lhrough h) below. <br />fl NGVD 1929 E NAVD 19BB I olher/Source: <br />Dalumusgdforbuildingelevalionsmuslbelhesameastt'" <br />Check lhe measuromenl us6d. <br />a) Top of botlom lloor (including basemenl, crawlspace, or enclosure floor)1594.B p feel f| meters <br />1s94.6 I feet <br />I feet <br />p feet <br />I meters <br />I meters <br />f] molers <br />1593.4 <br />1593.9 <br />N/A ! feet fl meters <br />SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <br />Thls cerlification is to be signed and sealed by a land surveyor, engineer, or architscl aulhoriz€d by law to certify elevallon informalion. <br />I corlily thal tho lntormalion on lhis Cedilicate represenls my hesl elfotls to inlerprol tho dala available. I undorsland lhal any false <br />slatemenl may be punishable by fino or impisonmant under 1B U.S. Code, Section 1001. <br />Were latiludo and longitude in Seclion A provided by a licensed land surveyor? Elyes fl tto ! Check here if attaohmenls,mx <br />Cerllllgr's Name <br />Rlck Sklnner <br />Llcense Number <br />43619 <br />1 <br />Title <br />Professional Land Surveyor <br />Company Name <br />Weslern Pacilic Engineering & Suwey, lnc. <br />Address <br />1224 S. Pioneer Way <br />Clty <br />Moses Lakl <br />^ <br />Stale <br />Washington <br />ZIP Code <br />98837 <br />Telephone <br />(5oe) 765-1023 <br />Ext. <br />Copy all [ages of lhis Elevation Cerlilicate and all allachmofits for (1) community official, (2) lnsurance agenUcompany, and (3) building ownor <br />Comments (including type of equipment and localion, per C2(e), if appllcable) <br />The elevation of the heat pump localed oulside of home was measured by using a GPS and then adding lhe helght of the legs for lhe <br />heat pump. <br />ELEVATION CERTIFICATE OMB No. 1660-0008 <br />Expiration Dalo: November 30,2022 <br />FEMA Form 086-0-33 (12l19)Replaces all provious edilions.Form Page 2 ol 6