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SERVICE PROVIDER: Please fill in the spaces and sign in the box appropriate for <br /> your business entity. <br /> Corporation 3 <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 frfielUiEL p(l)2©y Assoc/4715'f L.L c <br /> Liability [Service Provider's Complete Legal Name] <br /> • <br /> Company a Washington limited liability company , <br /> A <br /> By: A ��: ,A iffrAd <br /> T .ed/Pr ted Name:/4 ['., ' Rs' • (WY <br /> Managi g Me nber ' <br /> Date: 621 Lf,„ <br /> Page 10 <br /> (Form Approved by City Attorney's Office January 7,2010,updated June 15,2014) <br />