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6 <br /> 2004 Urban Initiative Grant Proposal <br /> APPLICATION FORM <br /> Project name (five words or less) EVERETT STREETSCAPE PROGRAM <br /> Location (City) Everett Tree City USA Y ® N ❑ <br /> Name of Applicant City of Everett Daytime Phone# 425-257-8800 <br /> Address of Applicant 3200 Cedar Street <br /> City Everett State WA Zip 98201 <br /> Contact Person Mark Sadler Daytime Phone# 425-257-8800 <br /> Fax# 425-257-8882 E-mail Address msadler@ci.everett.wa.us <br /> Contact Person Address (if different from above) <br /> Employer's Federal I.D. Number 91-6001248 <br /> Brief Description of Project and Objective: <br /> This tree planting project of 187 street trees will enhance our urban forests within <br /> various neighborhood areas of the City of Everett. The City of Everett Public Works <br /> Department will work with neighborhood groups, the Office of Neighborhoods, Parks <br /> Department and the Tree Committee to select the right tree for the right location for <br /> the long term enhancement of urban forests. <br /> Is this project currently funded through another entity? Yes ❑ No EA <br /> Was this project previously funded through another entity? Yes ❑ No DA <br /> DNR Funds Requested From budget worksheet $20,000.00 <br /> Applicant Share Provided From budget worksheet $24,755.40 <br /> In-Kind Share From budget worksheet $0.00 <br /> Cash Donations From budget worksheet $0.00 <br /> Total Amount of Project From budget worksheet $44,755.40 <br /> By signing this grant proposal application form the undersigned agrees that all information is accurate <br /> to the best of their knowledge. <br /> Ray Stephanson, Mayor <br /> Name and Title of Representative Date <br /> Signature of Representative Date <br /> 13 <br />