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SERVICE PROVIDER: Please fill in the spaces and sign <br /> in the box appropriate for your business entity. <br /> CITY OF EVERETT, <br /> WASHINGTON Corporation <br /> 410 <br /> [Service Provider's Complete Legal Name] <br /> — By: <br /> ra °C Typed/Printed Name: <br /> ii/z -118- Its:� Date: <br /> Date <br /> AT ST: Partnership <br /> (general) ,`14.1 0 N-,,A-to) G LOU-9 l C H t c.49 "vtp m,t i <br /> L / . iiIIP [Service Provider's Complete Legal Name] <br /> a Washington general partnership <br /> Sharon Fuller, City Clerk - ' <br /> ---------- <br /> up-7j Ty. <br /> �e --g,Typed/Printed Name: ' , II ]�.. too,M A � i <br /> DatGeneral Partner <br /> Date: / ' I <br /> 71..OVED AS TOIM: <br /> RM: Partnership <br /> (limited) [Service Provider's Complete Legal Name] <br /> / 14i 412.„.. <br /> a Washington limited partnership <br /> James D. Iles, City Attorney <br /> By: <br /> /1. . I ' Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> Sole <br /> Proprietorship Typed/Printed Name: <br /> Sole Proprietor: <br /> Date: <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 July 23,2018) <br />