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ANT: ln these spaces,the corresp informatlon from Seclion A.FOR COMPANY <br />Address (inciuding Apt., Unit, Suite, and/or Bldg. No.) or p.O. Roule and Box No_ <br />830 Pebble Beach Drive <br />Building Streel Policy Number: <br />Cily <br />Cle Elum <br />State <br />Washington <br />ZIP Code <br />98922 <br />Company NAIC Number <br />lf submitting more pltolographs lhan will fit on the preceding page, affx the additional photographs below, ldenlify ail photographswilh: dale taken: "Front View" and "Rear View"; an!, if requireO, ,,Right Side Viev/' and,;ieff SiOe View.,, When'"pp[.r6f",photographs must show ihe foundalion wilh representalive examples of thtflood openings or venls, ". indicated in Seclion A'C. - <br />Pholo Thre6 <br />Photo Three Caption Clear Pholo Three <br />Photo Fout <br />Photo Four Caption Clear Pholo Four <br />ELEVATION CERTIFICATE <br />BUILDING PHOTOGRAPHS <br />Conlinuation Page <br />OMB No 1660-0008 <br />Expiralion Dale: November 30,2022 <br />FEMA Form 086-0-33 (12t15)Replaces all previous editions.Form Page 6 of 6