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2021 Signature Authorization Form 44 <br /> Effective January 1, 2021 through December 31, 2021 Snohomish County <br /> Human Services <br /> - MAIL COMPLETED ORIGINAL FORM TO: Snohomish County Human Services -Attn: HSD Contracts <br /> 3000 Rockefeller, M/S 305 - Everett, WA 98201 <br /> Or •► EMAIL SCANNED (PDF) COPY TO: HSD.Contracts(c�snoco.orq <br /> Please sign in ink,electronic signature,or both. ALL SECTIONS below must be completed. <br /> SECTION 1: Official Business Name of Organization <br /> Business Name: City of Everett Community Development Date Submitted: 2/26/2021 <br /> 2930 Wetmore Ave, Suite 8A, <br /> Mailing Address: Everett, WA 98201 <br /> Street City State Zip <br /> SECTION 2: Authorizing Authority <br /> TAignature(s) Type or Print Name Title <br /> -=---- ---`'�� Cassie Franklin Mayor <br /> SECTION 3: Authorization to Sign Contracts I Contract Amendments <br /> Sigpature(s) Type or Print Name Title <br /> Cassie Franklin Mayor <br /> SECTION 4: Authorization to Sign Invoices I Requests for Reimbursements <br /> Signature(s) Type or Print Name Title <br /> Community Development <br /> (,(Aag. Julie Willie <br /> Director <br /> SECTION 5: Email Address for Contract Delivery Designation <br /> Email Address(es)printed/typed Type or Print Name Title <br /> jwillie(�everettwa.gov Julie Willie Community Development <br /> Director <br /> Rev. 12/15/20 <br />