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• <br /> 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 /> 1rf <br /> By: <br /> Ray Steenson, M. or Typed/Printed Name: <br /> `/.�/— / Its: <br /> l /K f� Date: <br /> Date <br /> ATTEST: Partnership <br /> (general) <br /> [Service Provider's Complete Legal Name] <br /> / a Washington general partnership <br /> Sharon Fuller,City Clerk <br /> By: <br /> 11 �1 f 7 <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 ity A orney <br /> By: <br /> 1 1 1/ `, Typed/Printed Name: <br /> Date {{ General Partner <br /> Date: <br /> Sole <br /> Proprietorship <br /> Typed/Printed Name: <br /> Sole Proprietor: <br /> Date: ,q <br /> Limited OI-7 Al y57 Yc(dL1' <br /> Liability [Service Provider's Complete Legal Name] <br /> Company a Washington limited liability company <br /> By: <br /> Typed/Printed Name: a,(L., <br /> Managin Member' <br /> Date: ' I a 741 tG� <br /> Page 7 <br /> (Form Approved by City Attorney's Office January 1,2010,updated June 7,2012) <br />