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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 /> By: <br /> to Fianl ' , ayor Typed/Printed Name: <br /> r, (,O I e l s Its: <br /> Date Date: <br /> ATT _T: Partnership <br /> (general) <br /> [Service Provider's Complete Legal Name] <br /> a Washington general partnership <br /> Sharon Fuller,City erk <br /> 9// 4-/P-e By: <br /> Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> APPROVED AS TO FORM: Partnership <br /> (limited) [Service Provider's Complete Legal Name] <br /> a Washington limited partnership <br /> James D. es,City ttorney <br /> z��31 <br /> By: <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 (1\-t• r 5 " f e ot Q <br /> Liability [Service Provider's Complete Legal Name] <br /> Company a Washington limited liability company <br /> By: ! <br /> r <br /> Typed/Prin es Name: t`j A te . t^T <br /> Managing b-r V 1 <br /> Date: ( ,� ' h <br /> v <br /> Page 7 <br /> (Form Approved by City Attorney's Office January 1,2010,updated November 21,201 b) <br />