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SERVICE PROVIDER: Please fill in the spaces and sign in the box appropriate fir <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 Matthew Durkee <br /> (general) [Service Provider's Complete Legal Name] <br /> a Washington general partnership <br /> k <br /> Typed/Printed Name: / -t 77% ex-f-) 0-2 r <br /> General Plasiner <br /> Date: OV7 eV 2- <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 12 <br /> (Form Approved by City Attorney's Office January 7, 2010, updated January G, 2022) <br />