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SERVICE PROVIDER: Please fill in the spaces and <br /> sign in the box appropriate for your business entity. <br /> CITY OF EVERETT, <br /> WASHINGTON Corporation <br /> [Service Provider's Complete Legal Name] <br /> Ray lit hanson, ayor By: <br /> Typed/Printed Name: <br /> 104 'a21(O Its: <br /> Date: <br /> Date <br /> ATTF ST: Partnership <br /> (general) <br /> [Service Provider's Complete Legal Name] <br /> a Washington general partnership <br /> Sharon Fuller,City//Clerk <br /> /—.09/790/1' By: <br /> Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> APPROVED AS TO FORM: Partnership <br /> (limited) [Service Provider's Complete Legal Name] <br /> a Washington limited partnership <br /> aures D. Iles, City Attorney <br /> By: <br /> i t '/5'/ /( . Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> Sole <br /> Proprietorship • • �' <br /> Typed/Printed Name: <br /> K Dt✓ <br /> Sole Proprietor: <br /> Date: /' /z /7 ! !(• <br /> Limited <br /> Liability [Service Provider's Complete Legal Name] <br /> Company a Washington limited liability company <br /> By: <br /> Typed/Printed Name: <br /> Managing Member <br /> Date: <br /> Page 7 <br /> (Form Approved by City Attorney's Office January 1,2010,updated June 15,2014) <br />