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SERVICE PROVIDER: Please fill in the spaces and sign in the box appropriate for <br /> your business entity. <br /> Corporation <br /> [Service Provider's Complete Legal Name] <br /> By: <br /> Typed/Printed Name: <br /> Its: <br /> Date: <br /> Partnership <br /> (general) [Service Provider's Complete Legal Name] <br /> a Washington general partnership <br /> By: <br /> Typed/Printed Name: <br /> General Partner <br /> Date: <br /> Partnership <br /> (limited) [Service Provider's Complete Legal Name] <br /> a Washington limited partnership <br /> By: <br /> Typed/Printed Name: <br /> General Partner <br /> Date: <br /> Sole <br /> Proprietorship Typed/Printed Name: <br /> Sole Proprietor: <br /> Date: <br /> Limited ( oO� s <br /> Liability "LService Provide'r's Complete Legal Name] <br /> Company a W �,� ;1 limited liability company <br /> By: 1A . ,. <br /> Typ dd/Printed Name:%ail�j,1ng' 11.2 <br /> Mana in ber <br /> Date: <br /> Page 11 <br /> (Form Approved by City Attorney's Office January 7,2010,updated August 16,2019) <br />