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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 /> M off' -kW-S r t,u No d tk, o t.CSo u ea_ e4rit Q. <br /> A [Service Provider's Complete Legal Name] <br /> 4 IF <br /> 0! Atli_ /41 A A ItA_A_I <br /> R.y Step son, M.►tor By �' <br /> Typed/Printed Name: ID ions£ , /0.44 <br /> ( Its: � CCura VC ate tr . <br /> p Date: m44 4 ,1.vt6 <br /> Date <br /> ATTE T: Partnership <br /> (general) <br /> /04-MadiA [Service Provider's Complete Legal Name] <br /> a Washington general partnership <br /> Sharon Fuller, City Clerk <br /> /i / <br /> i 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 /> �. l.�,l a Washington limited partnership <br /> amen D. Iles, City Attorney <br /> By: <br /> �; s1/V C. Typed/Printed Name: <br /> 3—ate-Cl/VC <br /> ate General Partner <br /> Date: <br /> Sole <br /> Proprietorship <br /> 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 June 15,2014) <br />