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2022 Signature Authorization Form 40' <br /> Effective January 1, 2022 through December 31, 2022 Snohomish County <br /> Human Services <br /> lad 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(a snoco.orq <br /> Please sign in blue ink,electronic signature,or both(whichever will be used to sign Contracts,Invoices,etc.). ALL sections below must be completed. <br /> Section 1: OFFICIAL BUSINESS NAME OF ORGANIZATION <br /> Business Name: City of Everett Community Development Division Date Submitted: 1.25.2022 <br /> Mailing Address: 2930 Wetmore Avenue, Suite 8A, Everett, WA 98201 <br /> Street City State Zip <br /> Section 2: AUTHORIZING AUTHORITY <br /> Type or Print Name Title ' nature <br /> Cassie Franklin Mayor <br /> Section 3: AUTHORIZATION TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br /> Type or Print Name Title nature <br /> Cassie Franklin Mayor <br /> Julie Willie Community Development Director 4S,IVA, <br /> Section 4: AUTHORIZATION TO SIGN INVOICES/REQUESTS FOR REIMBURSEMENTS <br /> Type or Print Name Title Signature <br /> Julie Willie Community Development Director - 0 ' <br /> Kembra Landry Community Development Manager /<Q,frrtev La td7 <br /> Section 5: EMAIL ADDRESS(es) FOR CONTRACT DELIVERY DESIGNATION <br /> Type or Print Name Title E-mail Address <br /> Julie Willie Community Development Director jwillie@everettwa.gov <br /> Kembra Landry Community Development Manager klandry@everettwa.gov <br /> Rev. 12/6/21 <br />