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12016 14TH DR SE 2016-01-01 MF Import
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12016 14TH DR SE 2016-01-01 MF Import
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Last modified
4/4/2017 11:44:45 AM
Creation date
4/4/2017 11:44:40 AM
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Template:
Address Document
Street Name
14TH DR SE
Street Number
12016
Imported From Microfiche
Yes
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� ( <br /> �. <br /> NETCLERK �ZO Dubuque Ave, South San Francisco, Ca. 94080 <br /> Government Services: 888-330-1777 Permit <br /> e-soluUonstorcontraolcrs Fax: 877-846-5888 Application <br /> Mail <br /> 0 <br /> To:Everett Perniit Handlrng Ixstructious ` <br /> Building � <br /> Mail .......... <br /> 3200 Cedar St �:i v ` - <br /> OF r. __ __... .. <br /> Everelt The approvad permit will be mailed td-ygi,p��,,,,a�?ubll�Egeryj e <br /> WA 98201 <br /> Plraie:4252578857 Additio�ral Commenfs <br /> F�': 4252578857 <br /> Contractor Information <br /> compa�y:Fast Water Heaters Company worker's Comp Carricr.Zurich US <br /> nddress: �p607 132nd Ave. N.E. workcr's Comp: MCP3591116 Exp. 02/16I2002 <br /> Ciry: Kirkland Statc Contrac�or's Licensc:pq$7VyHC052DF Exp. 02l16/2001 <br /> Statc/Zip: WA 98034 Liccnsc Class/'1'ypc: <br /> Phonc: 4258143124 Exp. <br /> Fax: Gxp. <br /> Emaii: pamelah@fastwaterheater.com Busincss �iccns�q: Exp. <br /> ' Credit Card Information ��•` '�` ' <br /> � . �.. , <br /> Crcdit CarJ NuntEcr. Visa: � <br /> Gxpiration Datc: � Mastcrwrd: � <br /> Card iloldcr Name: Odicr. � <br /> Project Information <br /> I lomcow�ncr Namc: I Iomcowncr Phonc Numbcr; <br /> Projcce nddress: 12016 14TH DR SE Everelt WA 98208 <br /> Valuation: <br /> ;ob Descripiion: <br /> Rcsidcntial ❑ Commcrcial ❑ pape� <br /> N0�05�� . . .. . .. . _. <br /> Paymcnt YES AttachmeNs: \VC � SCL� SASE��y AA �y Cg� � «p � <br /> Pcmiit Typc:CheCk Agcnt Awhori�ation: ORG. � NOT. � <br /> r�rm�c i�: 76754 ��T�: <br /> m dccz..�3 q <br />
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