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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 /> L awl r� t7er_✓atel, ,N► .4- C0,1 54 ` (3' <br /> [Servifrovider's Complete Legal Name] <br /> By: ` aLZ/� c <br /> Typedted Name: Pa v4.C( • S iiie- t <br /> Its: Pjvcs.L'6—al" CIt C-c' i l e.:>)gtvi c.a .r/'117 <br /> Date: 7 — 12. — ZOZ 1 <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 11 <br /> (Form Approved by City Attorney's Office January 7,2010,updated November 4,2020) <br />