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IMPORTANT: ln theee sprcos, copy tho correspondlng lnformatlon from Section A.FOR INSURANCE COMPANY USE <br />Building Stroet Address (lncludlng Apt., Unit, Sulte, and/or Bldg, No,) or P.O. Route and Box No. <br />3002 Dapple Gray Way <br />Pollcy Numbar: <br />Clty State <br />Washlngton <br />ZIP Code <br />98926Ellensburg <br />Company NAIC Number <br />lf submllllng more photographB than wlll flt on ths pr€cedlng pago, affix the addltional photographs below. ldenllfo all photographs <br />wilh: date taken; "Fronl Vlew" and "Rear View"; and, if requlred, "Rlghl Side Visw" and nLeft Slde View," When applicable, <br />pholographs must show lhe foundallon wllh represenlalive examples of lhe flood openings or vents, as lndlcated in Seclion A8. <br />):t, <br />i <br />Photo Three Captlon Fronl Vlew of Houee Clear Photo Three <br />Photo Four Caption Slde Vlew of Houss Clear Pholo Four <br />ELEVATION CERTIFICATE <br />BUILDING PHOTOGRAPHS <br />Contlnuallon Page <br />OMB No. 1660-0008 <br />Expiralion Date: November 3O,2022 <br />FEMA Form 086-0-33 (12115)Replaces all prevlous edlllons,Form Page 6 of6