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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) <br /> [Service Provider's Complete Legal Name]a <br /> Washington general partnership <br /> By: <br /> Typed/Printed Name: <br /> General Partner <br /> Date: <br /> Partnership <br /> (limited) <br /> [Service Provider's Complete Legal Name]a <br /> Washington limited partnership <br /> By: <br /> Typed/Printed Name: <br /> General Partner <br /> Date: <br /> Sole <br /> Proprietorship Typed/Printed <br /> Name: <br /> Sole Proprietor: <br /> Date: <br /> Limited <br /> Liability [Service Provider's Complete Legal Name] a <br /> Company Washington limited liability company <br /> By: <br /> Typed/Pe d I e: Khashayar Nikzad <br /> Managing Member <br /> Date: August 18,2022 <br /> Page 11 <br /> (Form Approved by City Attorney's Office January 7,2010,updated January 6,2022) <br />