Used to walk about up there with a pressure washer then when sense kicked in did it with a lance with a 90 degree angle ( it kicks upwards and could push you backwards) from gutter level.Then attatched a drain snake to an unger extension pole to reach further and then went in for wall washing and gutter cleaning. Its hard work and cause no one else is mad enough you should charge ludicrous prices.
I dont bother now a wfp is easier.