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IMPORTANT: ln lhese spaces, copy the corresponding lnformallorr fronr SecUon A FOR INSURANCE COMPANY USE <br />Building Street Address (including Apl., Unit, Suite, and/or Bldg, No.) or p.O. Route ancJ Box No. <br />3006 Dapple Gray Way <br />Policy Number: <br />Cily <br />Ellensburg <br />Stale <br />Washington <br />ZIP Code <br />98926 <br />Company NAIC Number <br />lf using lho Elcvation Cortificate to obtain NFIP flood insurance, affix at least 2 building photographs below accordirrg 1o the <br />inslruclions for llem 46. ldenlify all pholographs with date taken; "Fronl View" and "Rear Viewi; ind, iirequired, "Right Side Vlew" and <br />"Left Side View." When applicable, pholographs musl show lhe foundalion wilh represenlalive exanrpies ol the-floocl openings or <br />vents, as indicaled in Seclion AB. lf subrnitting more photographs than will fit on lhis page, use lh6 Continualion Page. <br />,s <br />! <br />i\- |l <br />tl-\: <br />Pholo One Caption Fr<lnl Clsar Photo Ono <br />r1'.".. <br />gjs,-\ <br />.-f,! <br />.t -----:-C-r- <br />etr <br />.? <br />Pholo Two Caplion Sicle Clear Photo Trvo <br />ELEVATION CERTIFICATE <br />BUILDING PHOTOGRAPHS <br />See lnslruclions for llern 46. <br />OMB No. '1660-0008 <br />Expiralion Date: Novemlret 30, 2022 <br />FEMA Fonn 086-0-33 (12l19)Replaces all previous editions.Form Page 5 of 6