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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, Corporation <br /> WASHINGTON <br /> [Service Provider's Complete Legal Name] <br /> By: <br /> Ca 'man n,Mayor Typed/Printed Name: <br /> //2-i/2t Its: <br /> Date: <br /> Date <br /> ATT ST: Partnership <br /> (general) <br /> [Service Provider's Complete Legal Name] <br /> 1-11F a Washington general partnership <br /> S .ron ullleritty lerk <br /> By: <br /> Typed/Printed Name: <br /> Dat General Partner <br /> Date: <br /> APPROVED AS TO FORM: Partnership <br /> (limited) [Service Provider's Complete Legal Name] <br /> Le - ` a Washington limited partnership <br /> ames D. Iles,� Cityll • t, Ty: <br /> ••. � <br /> vJ <br /> Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> Sole <br /> • Proprietorship <br /> Typed/Printed Name: <br /> Sole Proprietor: <br /> Date: <br /> Limited (-bit i ti C d• i(,t De.A4C" <br /> Liability [Service Provider's Complete Legal Name] <br /> Company a Washington limited liability company <br /> By: <br /> Typed/Printed Name: T-Ni IW ( t.; s <br /> Managing Member <br /> Date: %/ i(� / ZoiY <br /> Page 7 <br /> (Form Approved by City Attorney's Office January 1,2010,updated November 21,2016) <br />