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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 /> (genera!) [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 /> 06A. 6144,"1" LZC, <br /> (limited) [Service Provider's Complete Legal Name] <br /> a Washington limited partnership <br /> By: ;;"/ <br /> Typed/Printed aim: 7ouy ji' <br /> General Pa Parjner <br /> Date: 12 /2 71,20 <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 1 I <br /> (Form Approved by City Attorney's Office January 7,2010,updated November 21,2016) <br />