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llt/IPoRTANT: ln these spaces, copy the corresponding information from section A.FOR INSURANCE COMPANY USE <br />Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. <br />830 Pebble Beach Drive <br />Policy Number: <br />City <br />Cle Elum <br />State <br />Washington <br />ZIP Code <br />98922 <br />Company NAIC Number <br />SECTION G - COMMUNITY INFORMATION {oPTroNAL) <br />The local oflicialwho is autho-rized by law or ordinance to adminisler the community's floodplain managemenl ordinance can complelesections A' B' C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign oirow. Check the measuiemlnrused in ltems G8-G10. ln Puerto Rico only, enter meters. <br />Gl. n The information in Seclion C was taken from other documentation thal has been signed and sealed by a licensed surveyor,engineer, or architecl who is authorized by law to certify elevation informalion. (lndicate lhe source and date of lhe elevationdata in the Comments erea below.) <br />c2. D 1 1ommt1ltv official compleled Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE)or Zone AO. <br />G3. El The following informalion (ltems G4-G10) is provided for communiiy lloodplain managemenl purposes. <br />G4. Permit Number <br />FD-21-00047 <br />G5. Date Permit lssued <br />02-01-2022 <br />G6. Date Certificate of <br />Compliance/Occupancy lssued <br />12-16-2022 <br />G7. This permit has been issued for: ffi New Conslruction I Substantial lmprovement <br />ffi feet l_l meters <br />fi]feet I meters <br />ffi feet n mebrs <br />Datum NAVD gg <br />Datum NAVD 88 <br />Datum NAVn 88 <br />2008.8 <br />2007 8 <br />2008.9 <br />G10. Community's design flood elevation: <br />G9. BFE or (in Zone AO) depth of ftooding at the buitding site: <br />G8. Elevation of as-buill lowest floor (including basement) <br />of the building: <br />Title <br />Water Resources SpecialistSamantha Cox <br />Name <br />(509) 962-7523Kittitas Coung <br />Community <br />12-16-2022 <br />2 Smart Vents, model number 1540-520, installed in the garage. Certificalion for vents altached. <br />ffi Cne* here if aflachmenls, <br />type of equipmenl and location. per C2(e), if applicabte) <br />ELEVATION CERTIFICATE OMB No. 1660-0008 <br />Expiration Dale: November 30,2022 <br />FEMA Form 086-0-33 (12t19)Replaces all previous editions.Form Page 4 of6