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`'���`� Buildin <br /> NetClerk, Inc. : e-solucicns � � the contracting industry g <br /> ,\ <br /> aFo DuLngne:lre,San(h Sun Francisro, Cd.�4080 Permit <br /> 650-G2�t-042G <br /> Application <br /> Mail Permit Handling Instructions <br /> Everett (� R � R n ry� R D Pick UP Instructions: <br /> �'1 15 LK II V �S Mail To: 1-877-846-5888 <br /> 8uilding Departme�idU <br /> 3200 Cedar St - ��N � 8 2��0 <br /> Everett,WA.98201 Or mai!to contractor address below: <br /> Main: (425)257•8810 ..... _ . <br /> Fax: (425) 257•8857 GTY OF EVE . . .......... rrn"�r��„��r�����m��o�i���r�o�,�,r��. onedaynrrnarm�nAjormailed <br /> E�O��eerinpip�blic RETT a s. <br /> Services <br /> C o n t r a c t o r I n f o r m a t i o n <br /> Company: Fast Water Heaters Co. Worker's Comp Carrier: Zurich US <br /> Address: �2601 132nd Ave. N.E. Worker's Comp Carrier#: WC2978779 <br /> City Kirkland,WA. 98034 State Contractor's License#: FASTWHC052DF <br /> Phone: 425-814-3124 <br /> Fax: 1-877-846-5888 ['r c d r t C s r d /n fo r m a t r n u � <br /> Cred(t Card Number. <br /> Bus. L:cense# <br /> Namo on Card: <br /> Expiratfon�ate: <br /> Visa � MastercarG � <br /> Notes / Co ►nments <br /> Pre-reg:NO Attachments: -SASE <br /> Payment: Check Permit Type:Paper <br /> A u t h o r i z a t i o n F o r m s <br /> °Ayent Authoriz�tloe"-Dy eompleriog vd rWudn6�Ee intartneuon below,You <br /> mthmize Net C1ak����ett��g6N�m yow behilL <br /> To Whomlr May Cannm: <br /> Lenhu lener wrharize NerC(erk lnc.rnd all cunent(y�mployed and authorteed <br /> . mJociaruoJNerClrrk�k'•aa�rmanagmronour6ehalf—rlgningJarenyondall <br /> buf(ding permitf and fianfu required 6y ovr company. <br /> / � � � <br /> Sincnely, + <br /> � � <br /> Name: � ^'� e S <br /> lide: ��'f/�/� <br /> Compmy. FatrWarerNeataf,ompany <br />