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7SIGNATURE AUT HORQZA o QOM FORM <br /> FOR GRANT/LOAN RECIPIENTS - :. <br /> Department of Ecology <br /> a-Val Water Quality Program <br /> PO Box 47600 <br /> Olympia,WA 98504-7600 <br /> 0 TATE <br /> o-:eaeritear OF Phone: (360)407-6600 <br /> ECOLOGY FAX: (360)407-7151 <br /> Name of Organization Date Submitted <br /> City of Everett <br /> f Project Title Agreement Number <br /> Brookridge Detention Facility Retrofit G1200552 <br /> AUTHORIZING SIGNATORY <br /> Signature Print or Type Title/Term of Office <br /> Ray Stephanson Mayor <br /> AU -OWWWED TO SIGN AGREEMENT AMENDMENTS <br /> Sigpature f Print or Type Title <br /> 1. ( <br /> p/ David H. Davis Public Works Director <br /> AUTHORIZED TO SIGN REQUEST FOR REIMBURSEMENT <br /> Sjgnature , Print or Type Title <br /> 1( David H. Davis Public Works Director <br /> ! i <br /> ECY 070-206(Rev. 01/2006) Ecology is an equal opportunity agency. <br />