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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 /> Cassie Frank or <br /> By: <br /> 40.11FTyped/Printed Name: <br /> ‘ 101: Its: <br /> Date Date: <br /> ATT..T: Partnership <br /> (general) <br /> [Service Provider's Complete Legal Name] <br /> ,Ai.1i.k.....A.A. 0 a Washington general partnership <br /> Sharon Fuller,City lerk <br /> OP-4P 1 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 /> g°1-421:: ". 4.—James D. Iles, City Attorney <br /> By: <br /> Co!2 .J,45 Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> Sole <br /> Proprietorship <br /> Typed/Printed Name: <br /> Sole Proprietor: <br /> Date: <br /> Limited r(,g- WA^)nt j IN&joVA-�iOt\LS,Q.C.C. <br /> Liability [Service Provider's Complete Legal Name] <br /> Company a Washington limited liability company <br /> Type• ' ted Name: *jit - 7 <br /> Managin Member <br /> Date: toM <br /> Page 7 <br /> (Form Approved by City Attorney's Office January 1,2010,updated November 21,2016) <br />