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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: I..* <br /> Limited .011:..L <br /> OD_ /la` <br /> La. A 0 111\11, OHM <br /> Liability [Service Prov':er's Complete Legal Name] Tt <br /> Company an_',plimited liability company <br /> Type• <in e. Na e rar-err\V <br /> Managin ember <br /> Date: IO ���g <br /> Page 11 <br /> (Form Approved by City Attorney's Office January 7,2010,updated July 23,2018) <br />