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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 /> WASHINGT N Corporation , <br /> G 6-CZ `I immljt :��t�GiZ.g. /{/Co <br /> -- [Se ice Provider's Complete Legal Name] <br /> ' _ _/ <br /> By: L >Mayor ici6 <br /> 'uo <br /> • s,z ra il int, Typed/Printed Name: ;/,q-y., pi,A3-/ - (j ld <br /> Its:/:X ��j i,cy/ , <br /> Dat• <br /> Date: ! lO y'Z0✓ k <br /> AT ST: Partnership <br /> �� (general) <br /> II loor [Service Provider's Complete Legal Name] <br /> / a Washington general partnership <br /> Sharon Fuller,City Clerk <br /> ///0 AN 8 By: <br /> Typed/Printed Name: <br /> D General Partner <br /> Date: <br /> APPROVED AS TO FORM: Partnership <br /> (limited) [Service Provider's Complete Legal Name] <br /> �SgS2---_ a Washington limited partnership <br /> James D. Iles, City Attorney <br /> By: <br /> //l&/ i< Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> Sole <br /> Proprietorship <br /> Typed/Printed Name: <br /> Sole Proprietor: <br /> Date: <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) <br />