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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, Corporation <br /> WASHINGTON <br /> [Service Provider's Complete Legal Name] <br /> 0111: A <br /> Ray `V s hanso , Mayor By: <br /> Typed/Printed Name: <br /> 2 .1 7 ,MI Its: <br /> Date Date: <br /> AT ST: Partnership <br /> ,fr <br /> / lop (general) <br /> [Service Provider's Complete Legal Name] <br /> ,/ a Washington general partnership <br /> Sharon Fuller,City Clerk <br /> Oil 13/ By: <br /> 1� Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> APPROVED AS TO FORM: Partnership <br /> (limited) [Service Provider's Complete Legal Name] <br /> `.,t i a Washington limited partnership <br /> James D. Iles, Ci , • <br /> By: <br /> 1 ` Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> Sole // /)i / tAjeOf n)Tlpr , <br /> Proprietorship n l <br /> Typed/Printed Name: f �/ / I - 1, <br /> U I " atf <br /> Sol- 'roprietor: <br /> Date:4 (4 / oi <br /> z <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 November 21,2016) <br />