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SERVICE PROVIDER: Please fill in the spaces and sign in the box appropriate for <br /> your business entity. <br /> Corporation /// x �J 7� � <br /> IH[ Cc� e 3174rre * /fey Pe: G(G141r (C�wc <br /> [Servide'Pt`ovider's Complete Legal Nam <br /> By: L r5 <br /> Typed'Pri ed Name: pec-. <br /> Its: f-C.ke <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 <br /> Liability [Service Provider's Complete Legal Name] <br /> Company a Washington limited liability company <br /> By: --- — —Typed/Printed Name: <br /> Managing Member <br /> Date: <br /> Page I I <br /> (Form Approved by City Attorney's Office January 7,2010, updated November 21,2016) <br />