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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 St, ±anson, ayor By: <br /> Typed/Printed Name: <br /> 4 '4'410(q— Its: <br /> Date Date: <br /> AT T: Partnership <br /> (general) <br /> 1 [Service Provider's Complete Legal Name] <br /> / , I JA , a Washington general partnership <br /> Sharon Fuller, City Clerk <br /> Q h <br /> L ""d"-.9-0 l By:Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> APPROVED AS TO FORM: Partnership <br /> (limited) [Service Provider's Complete Legal Name] <br /> 1 ,-AL a Washington limited partnership <br /> James D. Iles, City Attorney <br /> � <br /> ) By: <br /> S / --1 Jf .J— Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> Sole S 61.414,1 &•,l " <br /> Proprietorship <br /> Typdd/Printed Name: <br /> _.., __ _-,- -745— <br /> 4 - <br /> SpWProprietor: <br /> Date: iLAI 11I <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 March 16,2015,updated November 21,2016) <br />