Laserfiche WebLink
2018 Signature Authorization Form 44441. <br /> Effective January 1, 2018 through December 31, 2018 Snohomish County <br /> Human Services <br /> Submit completed original form to: <br /> Snohomish County Human Services, Attn: HSD Contracts, 3000 Rockefeller,M/S 305, Everett,WA 98201 <br /> Please print or type clearly all names and sign in blue ink. <br /> SECTION 1: Official Business Name of Organization <br /> Business Name: City of Everett Date Submitted: <br /> Mailing Address: 2930 Wetmore Avenue, Suite 8A, Everett, WA 98201 <br /> Street City State Zip <br /> SECTION 2: Authorizing Authority <br /> S.! • •ture Print or Type Name Title <br /> l <br /> Cassie FranklinMayor <br /> SECTION 3: Authorization to Sign Contracts/Contract Amendments <br /> nature Print or Type Name Title <br /> 111.4111W - Cassie Franklin Mayor <br /> SECTION 4: Authorization to Sign Invoices/Requests for Reimbursements <br /> SignaturePrint or Type Name Title <br /> de. .‘1,1 e442Allan Giffen Planning Director <br /> ilaw, (.1 aiotf <br /> Rebecca McCrary Housing&Community Dev.Program Manager <br /> SECTION 5; Contract Delivery Designation <br /> Email Address Print or Type Name Title <br /> ramccrary@everettwa.gov Rebecca McCrary Housing&Community Dev.Program Manager <br /> Rev.11/7/17 <br />