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e_ <br /> CITY OF EVERETT <br /> BOARDS AND COMMISSIONS <br /> APPLICATION FORM <br /> Name: Peter Dervin <br /> Address: 9101 9th Avenue SE,Everett,WA 98208 <br /> Phone: 425-347-6127 E-Mail: Deter.dervin(c ifrontier.com <br /> Occupation: VP/Northwest Regional Sales Manager for Valencia Pipe Company,Inc. /VPC Sales <br /> How long have you been an Everett resident? 21 years <br /> Boards)/Commission(s) of interest: Cultural Commission <br /> Why do you want to serve on this board/commission? <br /> I have been active in the arts and music communities for many years,and I am excited that the City of Everett <br /> has a vibrant cultural commission that is highlighting the many talents of our citizens and community. <br /> It would he an honor to serve on this commission. <br /> Please provide background, experience, and qualifications that would assist you in serving <br /> on this board/commission: <br /> I was a volunteer program host at 90.7 KSER for over 19 years from 1990 to 2009. I organized KSER's <br /> participation at Fresh Paint for several years, and produced several concerts on behalf of KSER. <br /> List past or present community involvement: <br /> I served on the City of Everett Tree Committee for over 13 years. <br /> I was a basketball coach through the City of Everett Parks and Recreation in the 1990's. <br /> Additional information may be attached.41c,tt., 46/7A,..t:_, <br /> gySignature <br /> Date /71071/0 <br />