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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 /> Cassie Franklin, Mayor Typed/Printed Name: <br /> Date/l`°l 2 Its: <br /> Date: <br /> IAT EST: Partnership <br /> (general) <br /> [Service Provider's Complete Legal Name] <br /> a Washington general partnership <br /> Sharon Fuller, City Clerk <br /> By: <br /> ` �//L� Typed/Printed Name: <br /> D e ` General Partner <br /> Date: <br /> APPROVED AS TO FORM: Partnership <br /> (limited) [Service Provider's Complete Legal Name] <br /> A/4/1Z - LI II._ a Washington limited partnership <br /> . I es D. Iles, City Attorney <br /> By: <br /> • it Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> Sole <br /> Proprietorship <br /> Typed/Printed Name: <br /> Sole Proprietor: <br /> Date: <br /> Limited DA-iZ-r LO51k LL. 0 <br /> Liability [Service Provider's Complete Legal Name] <br /> Company a Washington limited liability company <br /> By: 4"C Uc6We Z /tc --,— <br /> Typed/Printed Namee: V U415i Mt R M fn ? d/o V <br /> Managing Member <br /> Date: (/---- 1- ZG/$ <br /> Pagel <br /> (Form Approved by City Attorney's Office March 16,2015,updated November 21, 2016) <br />