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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 /> . ie ' .i. 0 u. ••I• By: <br /> Typed/Printed Name: <br /> tto it/ Le Its: <br /> D Date: <br /> ~EST: Partnership <br /> (general) <br /> / [Service Provider's Complete Legal Name] <br /> Li / a Washington general partnership <br /> haron Fuller,CityClerk <br /> lS/�7 O By: <br /> Typed/Printed Name: <br /> D to General Partner <br /> Date: <br /> APPROVED AS TO FORM: Partnership <br /> (limited) [Service Provider's Complete Legal Name] <br /> `r - / ` J L a Washington limited partnership <br /> James D. es,City Attorney <br /> I I1118 By: <br /> Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> Sole J e QNa�I <br /> Proprietorship U <br /> Typ /Pri ted Name: <br /> 'l <br /> r <br /> Sol ro •fetor: <br /> Date: /— tQ ' ' <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 January 1,2010,updated November 21,2016) <br />