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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 'V art�ti, CoN 1(S t� 0A5Liive— .ra\ck l <br /> Liability [Service Provider's Complete Legal Name] )) <br /> Company a Was ington limited liability company <br /> r <br /> By: VCS <br /> Typed/Printed Nam . J av\,vs S L C. 14 li:til <br /> Managin Meper <br /> Date: /j5 f 19 <br /> Page 11 <br /> (Form Approved by City Attorney's Office January 7,2010,updated July 23,2018) <br />