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CONTRACTOR:Please fill in the spaces and sign in the 5 <br /> box appropriate for your business entity. <br /> CITY OF EVERETT <br /> WASHINGTON Corporation <br /> [Service Provider's Complete Legal Name] <br /> By: <br /> Ray Stephanson,Mayor By <br /> Typed/Printed Name: Worthy &Assoc. <br /> Date Its <br /> Date: <br /> ATTEST: <br /> Limited <br /> Liability [Service Provider's Complete Legal Name] <br /> Company <br /> Sharon Marks,City Clerk a Washington limited liability company <br /> Date: <br /> By <br /> Typed/Printed Name: <br /> Managing Member <br /> Date: <br /> APPROVED AS TO FORM: <br /> Jim Iles, City Attorney <br /> Date: <br /> 18 <br /> 2 <br />