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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 2021 [EMAIL REDACTED] CITY OF EVERETT PUBLIC WORKS ADOPT-A-STREET APPLICATION