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CITY OF EVERETT <br /> BOARDS AND COMMISSIONS <br /> APPLICATION FORM <br /> Name: Gene Dvornick <br /> Address: 5511 Sound Ave, Everett,WA 98203 <br /> Phone: 425 347-3642 <br /> Occupation: Retired <br /> How long have you been an Everett resident? 15 years <br /> Board(s)/Commission(s) of interest: Planning Commission <br /> Why do you want to serve on this board/commission? Community Service <br /> Please provide background, experience, and qualifications that would assist you in <br /> serving on this board/commission: <br /> Worked for City of Everett as the Safety Official, Tnterem Director for Snohomish County Dept of Emergency <br /> Management. <br /> List past or present community involvement: Civil Service Commission, Navy Yacht Club <br /> St. John's Men's Club, Navy League Board <br /> Additional information may be attached <br /> grrSignature <br /> Date 12/23/05 <br />