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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 /> ( 1 <br /> [Service Provider's Complete Legal Name] <br /> 111 i/ / By. <br /> ay St anson,6 ayor Typed/Printed Name: <br /> I t-i (V1:7-- Its: <br /> Date: <br /> Date <br /> ATTE T: Partnership <br /> Fi [Service Provider's Complete Legal Name] <br /> /i a Washington general partnership <br /> Sharon Fuller, City Clerk <br /> I <br /> �1 By. <br /> 02// / Typed/Printed Name: <br /> Date General Partner <br /> APPROVED AS TO FORM: Partnership <br /> (limited) [Service Provider's Complete Legal Name] <br /> Q24,_ a Washington limited partnership <br /> ames D. Iles, City Attorney <br /> igll - Tye -/"'=-- N;:�_.__ <br /> Date General Partner <br /> Date: <br /> Sole <br /> Proprietorship <br /> Typed/Printed Name: <br /> I <br /> Sole Proprietor: <br /> Date: <br /> ii // <br /> Limited - ilN -A `► -Wile/ <br /> _ Liability [Service P .er s Complete Le: :!7 lir <br /> &impyrn v 3 WaS :I L L:?S lam.x.i;� ?ity cam-},-- <br /> By: JO f I ROSS / —00)9V <br /> 0`, )9 <br /> Typed 'rin es ameh I we?6 itv0 <br /> Managing Membe <br /> Date: 1 Aia <br /> Page 7 <br /> (Form Approved by City Attorney's Office January 1,2010,updated November 21,2016) <br />