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7� Dubuque Ave., South San Francisco, C�a. d4080 rermit � <br /> � Government Services: 888-330-1777 AppliCatlon � <br /> � ' ����"�4' Fax: 877-846-5888 <br /> Mail <br /> To:Everen Permit Handling Instr�ctions <br /> Building Mail <br /> 3200 Cedar St The approved permit will be mailed to you. <br /> Everett <br /> WA 98201 <br /> 4252578857 y, <br /> � �\s <br /> Contractor Information <br /> Company: Fast Water Heaters Company Workers Comp Carrler: Zurich US <br /> Address: �Z601 132nd Ave. N.E. Worker's Comp: MCP3597116 Exp. p�/1612001 <br /> ���Y� Kirkland State Contractor's Llcense:FASTWHC052DF Exp. 12I0712000 <br /> State/ZIP: WA 98034 Exp. <br /> Phone: 4258143124 Exp. <br /> Fax: Bus(ness License #: Exp. <br /> Email: pamelah@fastwaterheater.com <br /> Credit Card Information <br /> Credlt Card Number: Visa: � <br /> Explrotion Date: � Mastarcard: � <br /> Card Holder Name: Other: � <br /> Notes <br /> Pre-reg: YES Attachments: <br /> Payment:Check WC❑ SCL❑ SASEQ✓ AA Q✓ <br /> Agent Authorizatlon:YES Permit Type: <br /> ORG❑ NOTQ FV.� Pemiii ID: 67198 <br /> Project Address:4924 Elm St <br /> ' Comments: <br /> 1110�(I - G�f� <br />