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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 /> MuR.2AYSM►n4 r /dC--- _ <br /> [Service Provider's Complete Legal Name] <br /> By: <br /> Typed/Printed Name: ADaM VW <br /> Its: PRtKJC1PAL. t\t&tNCE_R_ <br /> Date:_a'z2/z021 <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 <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 I I <br /> (Form Approved by City Attorney's Office January 7.2010.updated November 4.2020) <br />