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CITY OF EVERETT, <br />WASHINGT <br />or <br />lD/S%2-- <br />Date <br />SERVICE PROVIDER: Please fill in the spaces and <br />si,gn in the box appropriate for Wour business enti . <br />Corporation <br />[Service Provider's Complete Legal Name] <br />By: <br />Typed/Printed Name: <br />Its: <br />Date: <br />Partnership <br />(general) <br />[Service Provider's Complete Legal Name] <br />a Washington general partnership <br />By: <br />Typed/Printed Name: <br />General Partner <br />Date: <br />Standard Document <br />Approved as to Fora' <br />Office of the City Attorney <br />5.13.22 <br />Partnership <br />(limited) <br />CenturyPacific, LLLP <br />[Service Provider's Complete Legal Naive] <br />a Wahigtor lizr i d liability limited partnership <br />By: <br />Typ P ted N <br />General Partner <br />Date: 10-4-2022 <br />Sole <br />Proprietorship Typed/Printed Name: <br />Sole Proprietor: <br />Date: <br />Limited <br />Liability [Service Provider's Complete Legal Name] <br />Company a Washington limited liability company <br />By; <br />Typed/Printed l Tame: <br />Managing Member <br />Date: <br />Page 8 <br />(Form Approved by City Attorney's Office January 1, 2010, updated March 13, 2022) <br />