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SERVICE PROVIDER: Please fill in the spaces and sign <br /> in the box appropriate for your business entity. <br /> CITY OF EVERETT, <br /> WASHINGTON Corporation <br /> [Service Provider's Complete Legal Name] <br /> B <br /> in k : •or y' <br /> Typed/Printed Name: <br /> 072.s 7 Its: <br /> Date <br /> < Date: <br /> A . 'T: Partnership <br /> (general) <br /> [Service Provider's Complete Legal Name] <br /> a Washington general partnership <br /> Sharon Fuller,City Clerk <br /> / By: <br /> 1 D/Z 5/ / / Typed/Printed Name: <br /> Date <` General Partner <br /> Date: <br /> Partnership <br /> W aRJ{1j1AiEtiIyNb�T f ti <br /> (limited) <br /> ' " [Service Provider's Complete Legal Name] <br /> A5IG <br /> a Washington limited partnership <br /> Y 1 P-80,34 AS TO <br /> Typed/Printed Name: <br /> E= CI R 1 ?Etl E'er, General Partner <br /> Date: <br /> Sole <br /> Proprietorship <br /> Typed/Printed Name: <br /> Sole Proprietor: <br /> Date: I ° <br /> Limited , i✓UtVSirt�l '�/[(,I,u U-It Vie_( <br /> Liability [Service Provider's Complete'Legal Name] <br /> Company a Washington limited liability company <br /> By: <br /> &. t <br /> Typed/Printed Name: Vt 1,19 I/li h.3 <br /> Managing Member <br /> Date: VS11 (p�l� <br /> Page 7 <br /> (Form Approved by City Attorney's Office January 1,2010,updated August 16,2019) <br />