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NOV-04-2004 THU 09:36 AM SNOHOMISH HEALTHDIST FAX NO. 4253395254 P. 02/02 <br /> NOV 04 <br /> -04 THU 10:27 AlI EVERETT PERMIT SERVICES FAX HO. 425 257 B857 <br /> i' <br /> MY OF EVERETT ' ' <br /> . ..BOA110S AND COMMISSIONS' <br /> APPLICATION FORM <br /> � <br /> j- c . <br /> .__-_.— <br /> mime: .4.‘ . <br /> ,Address: .._1411..-- <br /> Phone: _At . <br /> 2 . ' 5 6-'Z-6-'40 <br /> , <br /> Occupation: .,___i <br /> How tong,have you been an Everett resident? <br /> Board(s)/Commission(s) of interest: Board ofAd'usunent <br /> Why do you want to serve on this board/commission? /r 4 t <br /> i. <br /> 1 <br /> Please background,experience,and qualifications that would assist you in <br /> ��/� <br /> provide / ci G �l�"c <br /> serving on ibis i►oardlcomiulssion: . <br /> mistp ast or present community involvement: i2,A,e,f7 <br /> Additional information may be attachedX.� <br /> Signature <br /> grr Date ___. ct).-.....0_,-. <br />