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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 /> ZPr• , ayor By: <br /> Typed/Printed Name: <br /> 37/3* Its:3� Date: <br /> Date <br /> ATT ST: Partnership <br /> (general) <br /> [Service Provider's Complete Legal Name] <br /> /IA/ a Washington general partnership <br /> Sharon Fuller,City Clerk <br /> 3//d/d- F 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. Iles, City ttorney <br /> 10 <br /> By: <br /> a Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> Sole <br /> Proprietorship <br /> Typed/Printed Name: <br /> Sole Proprietor: <br /> Date: <br /> Limited Cr"C- "1vC. 'teta' L L C <br /> Liability [Service Provider's Complete Legal Name] <br /> Company a Washington limited liability company <br /> By: Crc.th'—c fl.c vJ 2 414- Ste{ <br /> Typed/Printed Name: t GA....e. 5k...0-- <br /> Managing <br /> k.. .LManaging Member <br /> Date: 3. 1 • 201'8 <br /> Page 7 <br /> (Form Approved by City Attorney's Office January 1,2010,updated November 21,2016) <br />