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Revised 05/06 <br /> AMENDED APPLICANT AGENT DESIGNATION <br /> <br />Application Identifier: State Number: D20-122 Disaster Number: 4481-DR-WA <br /> FEMA Application Number: 061-22640-00 <br /> <br />Legal Applicant Recipient: Applicant’s Name:__City of Everett__ _ ___________ Street Address:_____2930 Wetmore Avenue ____________ <br /> Mailing Address: 2930 Wetmore, 8th Floor County: Snohomish <br /> City: Everett ___State: WA Zip Code: _98201____ <br /> <br /> <br />Applicant Agent: Phone Numbers: <br /> <br /> Name: Jim Sande Work (425) 257-8109_______ <br /> <br /> Title: Emergency Management Director Fax ( ) _______________ <br /> <br /> E-Mail Address _jsande@everettwa.gov_____ <br /> <br /> Signature: Date:__________________________ <br /> <br /> <br />Applicant Alternate Agent: Phone Numbers: <br /> <br /> Name: Dan Templeman Work (425) 257-8493______ <br /> <br /> Title: Senior Executive Director Fax ( ) _______________ <br /> <br /> E-Mail Address ___dtempleman@everettwa.gov_____ <br /> <br /> Signature: Date:__________________________ <br /> <br /> <br />04/23/2024 <br />04/25/2024