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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) [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 gp u� [�`OP' , <br /> Liability [Service 'r&iter's Complete Legal Name] <br /> Company a W. •'ngt•• • ited liability company <br /> wow <br /> p y <br /> By. <br /> Type. Pr''ted ame: M <br /> D ate: f / J anagJ / )J L1 <br /> D <br /> Page 10 <br /> (Form Approved by City Attorney's Office January 7,2010,updated June 15,2014) <br />