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IMPORTANT: ln these spaces, oopy the conerpondlng lnlonnation from Secllon A.FOR INSURANCE COMPANY USE <br />Bulldlng Street Address (inoludlng Apt., Unit, $uito, and/or Bldg. No,) or P.O. Route and Box No' <br />3004 Dapple Gray Way <br />Pollcy Number: <br />clty State <br />Washington <br />ZIP Code <br />98926Ellensburg <br />Company NAIC Number <br />lf submltting more pholographs than will lit on the preceding page, afiix the additional phoiogra$ts below ldentlfy all photographs <br />wlth: date laken; 'iFront- Vlew" and nRear Vle#'; and, il requlred, *Right Side Vlerd' and "Left Side Vlew." When appllcable, <br />photographs must show the foundatlon wlth representative examples of the llood openings or v€nts, as lndicated ln Section A8. <br />Pholo ltoo <br />Photo Three Caplion Rear Cleaf,PhoJO T.hree <br />Photo Fout <br />Photo Four Caption Side ioteai Pbolo,Fplr <br />ELEVATION CERTIFICATE <br />BUILDING PHOTOGRAPHS <br />Qontlnuation Page <br />OMB No. 1660-0008 <br />Explration Date: November 30,2022 <br />FEMAFoTm 086-0-33 (A$)Replaces all prevlous edilions,Form Page 0 ofO