Fillable Adopt A- Street Application PDF (City of Everett)

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Adopt A- Street Application PDF (City of Everett)

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VOLUNTEER GROUP
Name of volunteer group:
Type or print name the way you want it to appear on the Adopt-a-Street signs:
Mailing address:
City, State:
ZIP Code:
Approximate number of volunteers participating in each clean up:
STREET RIGHT-OF-WAY SECTION REQUESTED
List the sections that you are interested in cleaning in order of preference. Sections of street right-of-way are
assigned on a safety and first come, first-served basis. If the section your group has identified is not available
or suitable for adoption, City of Everett Public Works will suggest other alternatives.
1. Street name: From cross street: To cross street:
2. Street name: From cross street: To cross street:
GROUP COORDINATOR
Name:
Day phone: Cell phone: Email address:
Signature: Date:
ALTERNATE GROUP COORDINATOR
Name:
Day phone:
Cell phone:
Email address:
Return completed application to:
Adopt-a-Street Coordinator
City of Everett Public Works Department
3200 Cedar St., Everett, WA 98201
Revised 2019 efrost@everettwa.gov
CITY OF EVERETT PUBLIC WORKS
A DOPT- A - STREET APPLICATION
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Adopt A- Street Application PDF (City of Everett)

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Completed 13 February 2021

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