Laserfiche WebLink
SERVICE PROVIDER: Please fill in the spaces and sign in the box appropriate for <br /> your business entity. <br /> Corporation <br /> k_s. <br /> [Service Provider's Complete Legal Name] • <br /> By: <br /> Typed/Printed Name: cc' <br /> Its: tsSIA. 20‘.. 1.).____er_____ - <br /> Dat . • <br /> Partnership <br /> (general) [Service Provider's Complete Legal Name] 44",''t• <br /> • <br /> a Washington general partnership 4 , <br /> By: <br /> Typed/Printed Name: <br /> General Partner <br /> Partner <br /> ° <br /> Date: <br /> Partnership <br /> (limited) <br /> [Service Provider's Complete Legal Name] <br /> a Washington limited partnership <br /> , . <br /> By: <br /> Typed/Printed Name: <br /> General Partner <br /> Date: <br /> • <br /> Sole <br /> Proprietorship <br /> Typed/Printed Name: <br /> tgrittilV - <br /> *104 <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 /> ;v. <br /> 40,4„ <br /> f 4,4 <br /> 4144'4 = <br /> Page 11 - <br /> (Form Approved by City Attorney's Office January 7, 2010, updated November 21, 2016) <br /> .'14 4''',VitlizeP-4-4g, <br />