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SERVICE PROVIDER: Please fill in the spaces and sign <br /> in the box appropriate for your business entity. <br /> CITY OF EVERETT, <br /> WA INGTON(74 Corporation <br /> [Service Provider's Complete Legal Name] <br /> eNe+ int Vaiiiitarit P4. <br /> Ray Stephanson, Mayor By: <br /> Typed/Printed Name: <br /> 12 AI 11- Its: <br /> Date Date: <br /> ATTEST: Partnership <br /> (general) <br /> a [Service Provider's Complete Legal Name] <br /> C dMn 4— PCW-4-e4,1-01A.- a Washington general partnership <br /> -thr Sharon Fuller,City Clerk <br /> By: <br /> J,Z - f- l7 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 & , a Washington limited partnership <br /> James D. Iles, City Attorney <br /> By: <br /> D/ c_c,//�.._ Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> Sole V V 1 1 Cs kka\ma <br /> Proprietorship <br /> Typed/Printed Name: <br /> &WI .45Lp Nediteyvi <br /> Sole P prietor: <br /> Date: On !n <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 />