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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 SK `,O ))K'j ockS PrC1/�C�;ivtu <br /> Liability [Service Pfovider's Com tete Legal Name] <br /> Company a Washington limited liability company <br /> By: 4 <br /> Typed/ rated Name: I O , CA <br /> Mana mg Member <br /> Date: 101171 2Dl6 <br /> Page 11 <br /> (Form Approved by City Attorney's Office January 7,2010,updated July 23,2018) <br />